Individual provider Active NPI

Vinoth Muthalagappan, DPM

  • Podiatrist
  • Wimauma, FL
National Provider Identifier
1144819533
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4234 Issued in FL
Practice address
16621 Lagoon Shore Blvd
Wimauma, FL 33598-4177
Phone
(813) 653-6100
NPI assigned
Jan 11, 2021
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4234 FL Primary
Podiatrist 213E00000X 328578 LA

Addresses

Primary practice location

16621 Lagoon Shore Blvd
Wimauma, FL 33598-4177

Mailing address

16621 Lagoon Shore Blvd
Wimauma, FL 33598-4177
Phone (813) 653-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220422000902 FL Practitioner - Podiatry 9032506993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

801 E Baker St
Plant City, FL 33563-3652
Phone (813) 653-6100

820 15TH St SE
Ruskin, FL 33570-4937
Phone (813) 653-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4234FLMDPodiatrist
328578LAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
A Professional Podiatry Practice LLC Single Specialty PastSince Nov 1, 2021 Accepting new patients
Edward Lang Single Specialty PastSince Nov 1, 2021 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients
Lon M Baronne DPM Baronne Foot Center Single Specialty PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1144819533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16621 LAGOON SHORE BLVD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984177",
            "telephone_number": "813-653-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16621 LAGOON SHORE BLVD",
            "city": "WIMAUMA",
            "state": "FL",
            "postal_code": "335984177",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHALAGAPPAN",
        "first_name": "VINOTH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4234",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "328578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wimauma, FL

Sources for this page

Verify at the official NPI Registry.