NPIMap

Individual provider Active NPI

Newton Packiaraj Muthunayagam, M.D.

  • Gastroenterology Physician
  • Middleburg Heights, OH
National Provider Identifier
1043367105
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-091569 Issued in OH
Practice address
18780 Bagley Rd Ste 200
Middleburg Heights, OH 44130-3304
Phone
(440) 816-4546
Fax
(440) 816-4549
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12805 NH
Internal Medicine Physician 207R00000X 35-091569 OH
Gastroenterology Physician 207RG0100X 35-091569 OH Primary

Addresses

Primary practice location

18780 Bagley Rd Ste 200
Middleburg Heights, OH 44130-3304

Mailing address

18780 Bagley Rd Ste 200
Middleburg Heights, OH 44130-3304
Phone (440) 816-4546

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmuthunayagam@direct.swgeneral.com Southwest General Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080620000380 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 3476624396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest General Medical Group IncGroup PAC ID 8527964550, 232 clinicians

Practice addresses (Care Compare)

7255 Old Oak Blvd
Suite C406
Middleburg Heights, OH 44130-3331
Phone (440) 816-4546

Hospital & facility affiliations

  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy135
Upper gastrointestinal (GI) endoscopy for acid reflux357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12805NHMDInternal Medicine Physician
35-091569OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians, Lorain, LLC CurrentSince Feb 13, 2017 Accepting new patients
Southwest General Medical Group Inc Internal Medicine CurrentSince Apr 9, 2017 Accepting new patients
Southwest General Medical Group, Inc. CurrentSince Apr 9, 2017 Accepting new patients
Southwest General Medical Group Inc CurrentSince Apr 9, 2017 Accepting new patients
Mercy Health Physicians Lorain, LLC Internal Medicine CurrentSince Feb 13, 2017 Accepting new patients
North Shore Endoscopy Center Gastroenterology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18780 Bagley Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 816-4546

7255 Old Oak Blvd
Ste C406
Middleburg Heights, OH 44130
Phone (440) 816-2270

7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Interoperability endpoints

  • Direct secure messaging: nmuthunayagam37578@ehrdirect.uhhospitals.org

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1043367105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18780 BAGLEY RD STE 200",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303304",
            "telephone_number": "440-816-4546",
            "fax_number": "440-816-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 BAGLEY RD STE 200",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303304",
            "telephone_number": "440-816-4546",
            "fax_number": "440-816-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUNAYAGAM",
        "first_name": "NEWTON",
        "middle_name": "PACKIARAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12805",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-091569",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-091569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmuthunayagam@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group, Inc.",
            "address_1": "18780 Bagley Rd Ste 200",
            "city": "Middleburg Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.