NPIMap

Individual provider Active NPI

Erkan Mutlukan, M.D., PH.D.

  • Ophthalmology Physician
  • Wilbraham, MA
National Provider Identifier
1457465353
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
161328 Issued in MA
Practice address
2036A Boston Rd
Wilbraham, MA 01095-1102
Phone
(413) 543-5444
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 161328 MA Primary

Addresses

Primary practice location

2036A Boston Rd
Wilbraham, MA 01095-1102

Mailing address

2036A Boston Rd
Wilbraham, MA 01095-1102
Phone (413) 543-5444

Other practice location 1

1964 Boston Rd
Wilbraham, MA 01095-1480
Phone (413) 543-5444

Other practice location 2

2036A Boston Rd
Wilbraham, MA 01095-1102
Phone (413) 543-5444

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro-Ophthalmology & Eyecare PC Ophthalmology Past Accepting new patients
Danielson Eye Care Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1457465353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036A BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951102",
            "telephone_number": "413-543-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036A BOSTON RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951102",
            "telephone_number": "413-543-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1964 Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951480",
            "country_code": "US",
            "telephone_number": "413-543-5444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2036A Boston Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010951102",
            "country_code": "US",
            "telephone_number": "413-543-5444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTLUKAN",
        "first_name": "ERKAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "161328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.