Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas Alexander Kutrubs, C-AA

Individual provider Anesthesiologist Assistant · NPI 1427760057

Mr. Nicholas Alexander Kutrubs, C-AA is an Anesthesiology Assistant in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with SSM Health Slu Hospital Anesthesia Physician Billing LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2023003008 (MO)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence PENDING (MO)

Record details

NPI number1427760057
Entity typeIndividual (Type 1)
GenderMale
Credentials C-AA
Sole proprietorNo
NPI enumeratedDecember 14, 2022
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ssm Health Slu Hospital Anesthesia Physician Billing Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis