Krishnakumar R Muthu, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N6517 Issued in TX

Practice address

12221 Merit Drive
Suite 1500
Dallas, TX 75251-2202

Phone

(214) 217-1911

Fax

(214) 217-1912

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in SD, TX, CO3 enrollments

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 3

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Hospitalist Medicine Physicians of Texas - Burnet PLLCGroup PAC ID 1850831637, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texoma Medical Center Hospital, Denison, TX, CCN 450324
• TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
• Alliancehealth Durant Hospital, Durant, OK, CCN 370014
• Choctaw Memorial Hospital Hospital, Hugo, OK, CCN 370100
• Atoka County Medical Center Hospital, Atoka, OK, CCN 371300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmuthu323819@christushealth.direct-ci.net

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.

• Hospitalist Medicine Physicians of Texas - Burnet PLLC

  • Hospitalist Physician
  • Denison, TX
  • NPI 1265275887

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas, PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1629307095
  Medicare reassignment Care Compare group NPD
• Christus Trinity Clinic Texas

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  Internal Medicine

  Medicare reassignment NPD
• North Texas Physician Services, PLLC

  • Internal Medicine Physician
  • Longview, TX
  • NPI 1992586150
  Medicare reassignment NPD
• Questcare Hospitalists PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1265441620

  Internal Medicine

  Medicare reassignment NPD
• Sound Inpatient Physicians of Texas I, Inc

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1831424563

  Internal Medicine

  Medicare reassignment NPD
• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Colorado Hospitalist Services, PLLC

  • Hospitalist Physician
  • Englewood, CO
  • NPI 1265806178
  Medicare reassignment NPD
• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment
• Christus Trinity Clinic Texas

  • Rural Health Clinic/Center
  • Winnsboro, TX
  • NPI 1801673165
  NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Neonatal-Perinatal Medicine Physician
  • Sioux Falls, SD
  • NPI 1073585949
  NPD

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

• Fannin County Hospital Authority

  • Critical Access Hospital
  • Bonham, TX
  • NPI 1760417646
  Care Compare affiliation
• Uhs of Texoma, Inc

  • General Acute Care Hospital
  • Denison, TX
  • NPI 1851390967
  Care Compare affiliation
• Atoka County Healthcare Authority

  • Critical Access Hospital
  • Atoka, OK
  • NPI 1508896499
  Care Compare affiliation
• Choctaw County City of Hugo Hospital Authority

  • Rural Acute Care Hospital
  • Hugo, OK
  • NPI 1881689289
  Care Compare affiliation
• Durant Hma LLC

  • General Acute Care Hospital
  • Durant, OK
  • NPI 1770522906
  Care Compare affiliation

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1407056906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DRIVE",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DRIVE",
            "address_2": "SUITE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1911",
            "fax_number": "214-217-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTHU",
        "first_name": "KRISHNAKUMAR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SD",
            "license": "7091",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N6517",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "7091",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00450058",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140756906",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD BLUE CROSS",
            "identifier": "4992481",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005702",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005700",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46022474331",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hala Mustafa, DDS
• Syeda Butool Mustafa, DO
• Elias Mutambikwa
• Claire Mutebi
• Cassandra Muth, OTR
• Alagarraju Muthukumar, PH.D.
• Kevin Mutore, MD
• Mary Kavengi Mutua, M.D.
• James Muturi, CRNA
• John Muturi, NP

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.