NPIMap

Individual provider Active NPI

Sunil Anand Mutgi, M.D.

  • Neurology Physician
  • Sheridan, WY
National Provider Identifier
1225358906
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
94375 Issued in SC
Practice address
30 N Gould St Ste 11040
Sheridan, WY 82801-6317
Phone
(307) 410-3856
Fax
(307) 509-5461
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2025-01347 NC
Vascular Neurology Physician 2084V0102X 16492 ND
Neurology Physician 2084N0400X 94375 SC Primary
Neurology Physician 2084N0400X 16492 ND

Addresses

Primary practice location

30 N Gould St Ste 11040
Sheridan, WY 82801-6317

Mailing address

30 N Gould St Ste 11040
Sheridan, WY 82801-6317
Phone (307) 410-3856

Other practice location 1

4209 51st St S
Fargo, ND 58104-3314
Phone (701) 205-5805

Other practice location 2

401 79th Ave N
Myrtle Beach, SC 29572-4310
Phone (843) 948-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150706002556 WI Practitioner - Neurology 8729228226 Reassigns benefits to 3 organizations
I20250826000868 NC Practitioner - Neurology 8729228226 Reassigns benefits to 1 organization
I20251002004878 SC Practitioner - Neurology 8729228226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Toledo College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recon Neurology and PsychiatryGroup PAC ID 3870965924, 20 clinicians

Practice addresses (Care Compare)

1340 Walter Reed Rd
Suite 202
Fayetteville, NC 28304-4451
Phone (910) 504-3506

401 79TH Ave N
Myrtle Beach, SC 29572-4310
Phone (843) 948-1191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16492NDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mutgi Concierge Neurology and Consulting Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jul 25, 2017 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 6, 2015 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Gundersen Clinic LTD CurrentSince Jul 6, 2015 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jul 6, 2015 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jul 25, 2017 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 6, 2015 Accepting new patients
Recon Neurology & Psychiatry Neurology CurrentSince Jun 1, 2025 Accepting new patients
Pinehurst Womens Clinic PA PastSince Jan 1, 2003 Accepting new patients

Locations

1340 Walter Reed Rd
Ste 202
Fayetteville, NC 28304
Phone (910) 504-3506

1357 Walter Reed Rd
Ste 101
Fayetteville, NC 28304
Phone (910) 504-3506

70 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-4342

8210 Devon Ct
#A
Myrtle Beach, SC 29572
Phone (843) 948-1191

401 79th Ave N
Myrtle Beach, SC 29572
Phone (843) 449-7115

764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

30 N Gould St
Sheridan, WY 82801
Phone (307) 200-7117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCJCD

Organizations & group practices 11

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1225358906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE 11040",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "307-410-3856",
            "fax_number": "307-509-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N GOULD ST STE 11040",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016317",
            "telephone_number": "307-410-3856",
            "fax_number": "307-509-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 51st St S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581043314",
            "country_code": "US",
            "telephone_number": "701-205-5805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 79th Ave N",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724310",
            "country_code": "US",
            "telephone_number": "843-948-1191",
            "fax_number": "843-948-1192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTGI",
        "first_name": "SUNIL",
        "middle_name": "ANAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-01347",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "ND",
            "license": "16492",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "94375",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ND",
            "license": "16492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.