Annamalai Muthiah Jr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101222615 Issued in VA

Practice address

110 Kingsley LN
305
Norfolk, VA 23505-4614

Phone

(757) 889-5422

Fax

(757) 889-5450

NPI assigned

Sep 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 11

Medicare fee-for-service enrollment

Enrolled in VA, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

New York Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Medical Center Hospital, Winchester, VA, CCN 490005
• Warren Memorial Hospital Hospital, Front Royal, VA, CCN 490033
• Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
• Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309
• Page Memorial Hospital, Inc Hospital, Luray, VA, CCN 491307

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Association of Alexandria Radiologists, P.C.

  • Diagnostic Radiology Physician
  • Alexandria, VA
  • NPI 1013935709
  Medicare reassignment NPD
• Hampton Roads Radiology Associates, PC

  • Diagnostic Radiology Physician
  • Virginia Beach, VA
  • NPI 1174533624
  Medicare reassignment NPD
• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Medicare reassignment NPD
• Shenandoah Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Woodstock, VA
  • NPI 1952417735
  Medicare reassignment NPD
• Warren Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Front Royal, VA
  • NPI 1164442281
  Medicare reassignment NPD
• Winchester Radiologists PC

  • Diagnostic Radiology Physician
  • Winchester, VA
  • NPI 1235123977

  WV

  Medicare reassignment
• Kingsley Lane Anatomic Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport News, VA
  • NPI 1386930451
  NPD
• Page Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1083236970
  NPD
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  NPD
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  NPD
• Warren Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Front Royal, VA
  • NPI 1457840183
  NPD
• Page Memorial Hospital

  • Rural Health Clinic/Center
  • Luray, VA
  • NPI 1225287337
  NPD (past)

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

• Page Memorial Hospital, Inc.

  • Critical Access Hospital
  • Luray, VA
  • NPI 1326040684
  Care Compare affiliation
• Shenandoah Memorial Hospital, Inc.

  • Critical Access Hospital
  • Woodstock, VA
  • NPI 1033166442
  Care Compare affiliation
• Warren Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Front Royal, VA
  • NPI 1427085232
  Care Compare affiliation
• Winchester Medical Center

  • General Acute Care Hospital
  • Winchester, VA
  • NPI 1619928017
  Care Compare affiliation
• Winchester Medical Center

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1790024909

  Hospital

  Care Compare affiliation
• War Memorial Hospital, Inc.

  • Critical Access Hospital
  • Berkeley Springs, WV
  • NPI 1467450353
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1063407997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN STE 305",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054617",
            "telephone_number": "757-889-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
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            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
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            "city": "NORFOLK",
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            "telephone_number": "757-889-5422",
            "fax_number": "757-889-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Healthy Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley Springs",
            "state": "WV",
            "postal_code": "254117463",
            "country_code": "US",
            "telephone_number": "304-258-6510",
            "fax_number": "304-258-7428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr",
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            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-545-4674",
            "fax_number": "540-545-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
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            "state": "VA",
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            "country_code": "US",
            "telephone_number": "540-536-8750",
            "fax_number": "540-536-8827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Sunrise Blvd",
            "address_purpose": "LOCATION",
            "city": "Romney",
            "state": "WV",
            "postal_code": "267574607",
            "country_code": "US",
            "telephone_number": "304-882-4561",
            "fax_number": "304-882-4950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Campus Blvd",
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            "postal_code": "226016903",
            "country_code": "US",
            "telephone_number": "540-536-3120",
            "fax_number": "540-536-3196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Campus Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254047561",
            "country_code": "US",
            "telephone_number": "681-242-3713",
            "fax_number": "681-247-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 Valley Health Way",
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            "city": "Front Royal",
            "state": "VA",
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            "country_code": "US",
            "telephone_number": "540-636-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 S Main St",
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            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641154",
            "country_code": "US",
            "telephone_number": "540-459-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Luray",
            "state": "VA",
            "postal_code": "228351000",
            "country_code": "US",
            "telephone_number": "540-743-4561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Exeter Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226038614",
            "country_code": "US",
            "telephone_number": "540-686-1600",
            "fax_number": "540-686-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863027",
            "country_code": "US",
            "telephone_number": "540-316-5000",
            "fax_number": "540-316-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTHIAH",
        "first_name": "ANNAMALAI",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101222615",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0062747",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101222615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407194800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063407997",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Exeter Dr",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "351 Valley Health Way",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226306480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "500 Hospital Dr",
            "city": "Warrenton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201863027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "160 Exeter Dr Ste 103",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226038614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "300 Campus Blvd",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "1 Healthy Way",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254117463",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 Campus Dr Ste 121",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254047561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amuthiah114291@soc.inova.org",
            "affiliation": "N",
            "address_1": "363 Sunrise Blvd",
            "city": "Romney",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267574607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.