Active NPI
Murugavel M Muthusamy, M.D.
- Hematology & Oncology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01040972A
- Practice address
- 11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739 - Phone
- (833) 724-8326
- Fax
- (260) 425-6845
- NPI assigned
- Mar 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 23416-875 | WI | |
| Hematology & Oncology Physician | 207RH0003X | 36148444 | IL | |
| Hematology & Oncology Physician | 207RH0003X | 01040972A | IN | Primary |
Addresses
Primary practice location
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Mailing address
4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500
Other practice location 1
4101 Technology Ave
New Albany, IN 47150-8548
Phone (812) 941-4500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5171410005 | Other | IN | DMERC |
| 5171410004 | Other | DMERC | |
| 100219024 | Medicaid | WI | |
| 100361800 | Medicaid | IN | |
| 5171410003 | Other | DMERC |
Electronic endpoints 7
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmuthusamy359587@direct.myadvocateaurora.org | Direct | |
| Direct Messaging Address | mmuthusamy299317@direct-ehr-ssmhc.com | Direct | |
| Direct Messaging Address | murugavel.muthusamymd.p36@direct.ahni.nextgenshare.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mmuthusamy587609@Direct.Parkviewexchange.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11050 Parkview Circle Dr
Fort Wayne, IN 46845-1739
Phone (833) 724-8326
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36148444 | IL | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| American Health Network of Indiana, LLC | Hematology & Oncology | Current | Accepting new patients |
| American Health Network of Indiana LLC | Current | Accepting new patients | |
| Health & Oncology Services, Inc | Hematology & Oncology | Past | Accepting new patients |
| Hospice of the Calumet Area, Inc. | Past | Accepting new patients |
Locations
1052 Martin Luther King Dr
Ste 100
Centralia, IL 62801
Phone (618) 436-6479
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
817 Trail Ridge Rd
Albion, IN 46701
Phone (260) 373-9590
10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309
100 Hospital Ln
Ste 320
Danville, IN 46122
Phone (317) 520-5510
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
11050 Parkview Circle Dr
Fort Wayne, IN 46845
Phone (260) 266-7100
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
8301 Harcourt Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 228-3393
4101 Technology Ave
New Albany, IN 47150
Phone (812) 941-4500
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
Interoperability endpoints
- murugavel.muthusamy@chtc.ikm.direct-ci.com
- mmuthusamy359587@direct.myadvocateaurora.org
- mmuthusamy587609@direct.parkviewexchange.com
- murugavel.muthusamymd.p36@direct.ahni.nextgenshare.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Radiology Clinic/Center
- New Albany, IN
- NPI 1164304424
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1831236272
Hematology & Oncology
-
- Hematology & Oncology Physician
- Porter, IN
- NPI 1801851241
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Munster, IN
- NPI 1265284749
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lagrange, IN
- NPI 1679674956
-
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
- General Acute Care Hospital
- Bryan, OH
- NPI 1962458521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1467420760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 TECHNOLOGY AVE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471508548",
"telephone_number": "812-941-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 PARKVIEW CIRCLE DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451739",
"telephone_number": "833-724-8326",
"fax_number": "260-425-6845"
}
],
"practiceLocations": [
{
"address_1": "4101 Technology Ave",
"address_purpose": "LOCATION",
"city": "New Albany",
"state": "IN",
"postal_code": "471508548",
"country_code": "US",
"telephone_number": "812-941-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUTHUSAMY",
"first_name": "MURUGAVEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "23416-875",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": "36148444",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01040972A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5171410005",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5171410004",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100219024",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100361800",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "5171410003",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmuthusamy359587@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4101 Technology Ave",
"city": "New Albany",
"state": "IN",
"country_code": "US",
"postal_code": "471508548",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmuthusamy299317@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mmuthusamy299317@direct-ehr-ssmhc.com",
"address_1": "1052 Martin Luther King Dr Ste 100",
"city": "Centralia",
"state": "IL",
"country_code": "US",
"postal_code": "628013002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "murugavel.muthusamymd.p36@direct.ahni.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "8301 Harcourt Rd Ste 205",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462602082",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1052 Martin Luther King Dr Ste 100",
"city": "Centralia",
"state": "IL",
"country_code": "US",
"postal_code": "628013002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmuthusamy587609@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11050 Parkview Circle Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.