Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerry M Amstutz, DO

Individual provider Family Medicine Physician · NPI 1336217181

Kerry M Amstutz, DO is a Family Practice in Mesa, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2004, 22 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona and Indiana.

Years since qualifying
22
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone: (480) 610-7100
Fax: (480) 610-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4525 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 02003021A (IN)

Record details

NPI number1336217181
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address1917 S Crismon Rd, Mesa, AZ 85209-6216

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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