Maria Vladimirovna Akhutina, MD
Individual provider Active NPI Hospitalist Physician · Appleton, WI
NPI 1164652673 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1164652673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 72998 (WI)
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 729-3100
- NPI assigned
- Jul 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thedacare, Incorporated
Practice addresses (Care Compare)
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645
Hospital & facility affiliations
- Thedacare at Home
- Thedacare Regional Medical Center - Appleton Inc
- Thedacare Regional Med Ctr - Neenah
- Thedacare Medical Center - Shawano
- Thedacare Medical Center-Waupaca
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709001639 | WI | Practitioner - Hospitalist |
2961538525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35093468 | OH | MD | Internal Medicine Physician |
| 72998 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current |
Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- makhutina286800@ewd.direct.hshs.org
- makhutina340993@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35093468 | OH | |
| Internal Medicine Physician | 207R00000X | 72998 | WI | |
| Hospitalist Physician | 208M00000X | 72998 | WI | Yes |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 729-3100
Other practice location 1
3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | makhutina286800@ewd.direct.hshs.org | Direct |
Other providers in Appleton, WI
- Vicki Lynn Aho
- Hillary Marie Ahola-Jacques
- Ahp 007
- Elisa Marie Ahrens
- Jessica Ahrens
- Arshad Al-Mashhadani
- Aleser Pookayaporn Alahmad
- Rana Sameer Alahmedi
- Maurizio Zeki Albala
- Jordyn Albrecht
All providers in Appleton, WI · Hospitalist Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.