Individual provider Active NPI

Pritesh R Mutha, M.D., DIPABLM, MPH

  • Gastroenterology Physician
  • Houston, TX
National Provider Identifier
1386871598
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
T3831 Issued in TX
Practice address
6400 Fannin St Ste 1400
Houston, TX 77030-1512
Phone
(713) 704-3450
Fax
(713) 704-9938
NPI assigned
Jun 15, 2009
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X VA
Internal Medicine Physician 207R00000X MT194941 PA
Gastroenterology Physician 207RG0100X 0101257552 VA
Gastroenterology Physician 207RG0100X T3831 TX Primary

Addresses

Primary practice location

6400 Fannin St Ste 1400
Houston, TX 77030-1512

Mailing address

6400 Fannin St Ste 1400
Houston, TX 77030-1512
Phone (713) 704-3450

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
I20220513000924 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 5698917573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1740 W 27TH St
Suite 100
Houston, TX 77008-1435
Phone (281) 446-3876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT194941PAMDInternal Medicine Physician
T3831TXMDGastroenterology Physician
0101257552VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2022 Accepting new patients

Locations

1740 W 27th St
Ste 100
Houston, TX 77008
Phone (346) 250-5521

6400 Fannin St
Ste 1400
Houston, TX 77030
Phone (713) 500-6677

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23923 Cinco Ranch Blvd
Katy, TX 77494
Phone (713) 486-5300

Interoperability endpoints

  • Direct secure messaging: pmutha49970@memorialhermann.direct-ci.com

Organizations & group practices 2

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 3

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1386871598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301512",
            "telephone_number": "713-704-3450",
            "fax_number": "713-704-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301512",
            "telephone_number": "713-704-3450",
            "fax_number": "713-704-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHA",
        "first_name": "PRITESH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D., DIPABLM, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT194941",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101257552",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "T3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.