Individual provider Active NPI

Daljit Muttiana, MD

  • Cardiovascular Disease Physician
  • Tomball, TX
National Provider Identifier
1386624542
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J3168 Issued in TX
Practice address
355 School St Ste 101
Tomball, TX 77375-4785
Phone
(281) 357-5700
Fax
(281) 357-8822
NPI assigned
Jan 21, 2006
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X J3168 TX Primary

Addresses

Primary practice location

355 School St Ste 101
Tomball, TX 77375-4785

Mailing address

355 School St Ste 101
Tomball, TX 77375-4785
Phone (281) 357-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20031219000674 TX Practitioner - Cardiovascular Disease (Cardiology) 3072411743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

355 School St
Suite 101
Tomball, TX 77375-4785
Phone (281) 357-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10
Varicose vein removal18
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3168TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute PA Cardiovascular Disease CurrentSince Feb 1, 2005 Accepting new patients

Locations

355 School St
#101
Tomball, TX 77375
Phone (281) 357-5700

425 Holderrieth Blvd
Ste 201
Tomball, TX 77375
Phone (281) 357-5700

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1386624542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 SCHOOL ST STE 101",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754785",
            "telephone_number": "281-357-5700",
            "fax_number": "281-357-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SCHOOL ST STE 101",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754785",
            "telephone_number": "281-357-5700",
            "fax_number": "281-357-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTIANA",
        "first_name": "DALJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.