Jyothi Mettu, M.D.

Primary specialty

Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X

License

21955 Issued in KY

Practice address

387 Town Mountain Rd
Ste 108
Pikeville, KY 41501-1640

Phone

(606) 437-4925

Fax

(606) 437-4930

NPI assigned

Sep 20, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pikeville Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Cheyenne, WY
  • NPI 1891599502
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1255327805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "STE 108",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-437-4925",
            "fax_number": "606-437-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD",
            "address_2": "STE 108",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011640",
            "telephone_number": "606-437-4925",
            "fax_number": "606-437-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTU",
        "first_name": "JYOTHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "KY",
            "license": "21955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64219553",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003066000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Meade
• Brandy M Meadows, APRN
• Medical Investment Trust (Asthma and Allergy Center)
• Mercy Ambulance of Evansville Inc (American Medical Response; AMR; LIFEGUARD EMERGENCY MEDICAL SERVICES;)
• Elizabeth Ann Merlo, PHARM D
• Ramanarao V Mettu, MD
• Haitem Mezughi, M.D.
• Stephen Michael Miley, M.D.
• Denise Miller
• Hailey Miller, APRN

• Pediatrics Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.