Active NPI
Paula M Muto, MD
- Surgery Physician
- Lawrence, MA
National Provider Identifier
1447258363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 81002
- Practice address
- 100 Amesbury St
Suite 113
Lawrence, MA 01840 - Phone
- (978) 685-5474
- Fax
- (978) 689-0493
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 81002 | MA | |
| Surgery Physician | 208600000X | 81002 | MA | Primary |
Addresses
Primary practice location
100 Amesbury St
Suite 113
Lawrence, MA 01840
Mailing address
198 Massachussetts Avenue
Suite 100
North Andover, MA 01845
Phone (978) 685-5474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3152464 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070323000335 | MA | Practitioner - General Surgery | 7618071002 | Practice locations: North Andover, MA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- New York Medical College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
198 Massachusetts Ave
Suite 100
North Andover, MA 01845-4143
Phone (978) 685-5474
Hospital & facility affiliations
- Holy Family Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Varicose vein removal | 151 |
| Removal of tissue | 125 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81002 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muto Thoracic Clinic Incorporated | Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Surgery Physician
- Lawrence, MA
- NPI 1962526764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1447258363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 MASSACHUSSETTS AVENUE",
"address_2": "SUITE 100",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-685-5474",
"fax_number": "788-820-2369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 AMESBURY ST",
"address_2": "SUITE 113",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "01840",
"telephone_number": "978-685-5474",
"fax_number": "978-689-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTO",
"first_name": "PAULA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "81002",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "81002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3152464",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.