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

Kevin Michael Anderson Lutley, MD

Individual provider Internal Medicine Physician · NPI 1194221036

Kevin Michael Anderson Lutley, MD is an Internal Medicine in Stanford, California. Graduated from Michigan State University College of Human Medicine in 2018, 8 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
Michigan State University College of Human Medicine
Licensed in
CA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 Quarry Rd Ste 302, Palo Alto, CA 94304-1416 — (650) 498-9000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A163773 (CA)

Record details

NPI number1194221036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2018
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2018 (8 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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