Active NPI
Venkatachalam Muthiah, MD
- Nephrology Physician
- Dayton, OH
National Provider Identifier
1023091055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35334
- Practice address
- 1 Elizabeth PL
Suite 190
Dayton, OH 45408-1445 - Phone
- (937) 222-3118
- Fax
- (937) 222-1436
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35334 | OH | Primary |
Addresses
Primary practice location
1 Elizabeth PL
Suite 190
Dayton, OH 45408-1445
Mailing address
7073 Clyo Road
Centerville, OH 45459
Phone (937) 435-5857
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3108215037C18 | Other | UNITED MINE WORKERS | |
| 310821503028 | Other | CARE SOURCE | |
| 000000004921 | Other | OH | ANTHEM |
| 647579 | Other | ATENA | |
| 3120003 | Other | OH | UHC |
| 390003611 | Other | MEDICARE RAILROAD | |
| D35334 | Other | HUMANA | |
| 0543826 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35334 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Middletown, OH
- NPI 1497154827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1023091055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7073 CLYO ROAD",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-435-5857",
"fax_number": "937-912-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"address_2": "SUITE 190",
"city": "DAYTON",
"state": "OH",
"postal_code": "454081445",
"telephone_number": "937-222-3118",
"fax_number": "937-222-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHIAH",
"first_name": "VENKATACHALAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35334",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "3108215037C18",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "310821503028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000004921",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATENA",
"identifier": "647579",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3120003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "390003611",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "D35334",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0543826",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.