Active NPI
Nitesh Mutyala, MBBS
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1437941754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 125.085244
- Practice address
- 2525 S. Michigan Ave Insight Hospital and Medical Cente
Chicago, IL 60616 - Phone
- (312) 567-2397
- NPI assigned
- May 21, 2025
- Last updated
- Feb 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125.085244 | IL | Primary |
Addresses
Primary practice location
2525 S. Michigan Ave Insight Hospital and Medical Cente
Chicago, IL 60616
Mailing address
49/40/9 Sri Kesava Residency Flat TF1 Akkayya
Flat TF1 Third Floor
Visakhapatnam, ANDHRA PRADESH 530016
IN
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.085244 | IL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1437941754",
"addresses": [
{
"country_code": "IN",
"country_name": "India",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "49/40/9 SRI KESAVA RESIDENCY FLAT TF1 AKKAYYA",
"address_2": "FLAT TF1 THIRD FLOOR",
"city": "VISAKHAPATNAM",
"state": "ANDHRA PRADESH",
"postal_code": "530016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S. MICHIGAN AVE INSIGHT HOSPITAL AND MEDICAL CENTE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-567-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTYALA",
"first_name": "NITESH",
"name_prefix": "Mr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-21",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125.085244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.