George K Mutema, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

35077898 Issued in OH

Practice address

375 Dixmyth Ave
Cincinnati, OH 45220-2475

Phone

(513) 872-1400

NPI assigned

Jan 10, 2006

Last updated

Jun 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Pathology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Ohio Pathology Consultants, Inc.Group PAC ID 3971585217, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
• Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
• Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
• Mercy Health Kings Mills Hospital LLC Hospital, Mason, OH, CCN 360374
• Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Ohio Pathology Consultants Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Cincinnati, OH
  • NPI 1831173202
  Medicare reassignment Care Compare group NPD
• Academic Pathology Associates Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Cincinnati, OH
  • NPI 1417994880
  NPD (past)
• Anesthesia Group Practice, Inc

  • Anesthesiology Physician
  • Montgomery, OH
  • NPI 1417951948
  NPD (past)

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

• Mercy Health - Anderson Hospital LLC

  dba Mercy Hospital Anderson

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1235239211
  Care Compare affiliation
• Mercy Health - Clermont Hospital LLC

  dba Clermont Hospital

  • General Acute Care Hospital
  • Batavia, OH
  • NPI 1568562551
  Care Compare affiliation
• Mercy Health - Fairfield Hospital LLC

  dba Mercy Health - Fairfield Hospital

  • General Acute Care Hospital
  • Fairfield, OH
  • NPI 1467552471
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1912007931
  Care Compare affiliation
• Mercy Health - West Hospital LLC

  dba Mercy Health - West Hospital

  • Clinical Medical Laboratory
  • Cincinnati, OH
  • NPI 1982728036

  Hospital

  Care Compare affiliation
• Mercy Health Kings Mills Hospital LLC

  dba Mercy Health - Kings Mills Hospital

  • General Acute Care Hospital
  • Mason, OH
  • NPI 1790469146
  Care Compare affiliation

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1093794018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632242",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632242",
            "telephone_number": "800-503-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-872-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTEMA",
        "first_name": "GEORGE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35077898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453110E",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00038444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453110C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183480",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453110D",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453110F",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200453110A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64026404",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadeen Mustafa, PHARMD
• Zaid Mustafa
• Lauren N Mustain
• Laurie Kay Mustin, RN, CNP
• Diya F. Mutasim, M. D.
• Nandawula Kanyerezi Mutema, MD
• Haley Muth
• Winfred Njoki Muthoni
• Gajanthan Muthuvel
• Elizabeth Mutters, PHARMD

• Anatomic Pathology & Clinical Pathology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.