Active NPI
Brinda Muthusamy, MBCHB
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1033471099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- T7704
- Practice address
- The Wilmer Eye Institute Johns
600 North Wolfe Street
Baltimore, MD 21287-0001 - Phone
- (410) 955-8314
- NPI assigned
- Jun 14, 2012
- Last updated
- Jun 14, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | T7704 | MD | Primary |
Addresses
Primary practice location
The Wilmer Eye Institute Johns
600 North Wolfe Street
Baltimore, MD 21287-0001
Mailing address
29 Ruxview CT Apt 302
Ruxton, MD 21204-6679
Phone (443) 509-2503
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T7704 | MD | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1033471099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 RUXVIEW CT APT 302",
"city": "RUXTON",
"state": "MD",
"postal_code": "212046679",
"telephone_number": "443-509-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "THE WILMER EYE INSTITUTE JOHNS",
"address_2": "600 NORTH WOLFE STREET",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870001",
"telephone_number": "410-955-8314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHUSAMY",
"first_name": "BRINDA",
"credential": "MBCHB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "T7704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.