NPIMap

Individual provider Active NPI

Lakshmi Muthukumar, M.D

  • Cardiovascular Disease Physician
  • Milwaukee, WI
National Provider Identifier
1538315221
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
64440-20 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy
Suite 840
Milwaukee, WI 53215-3669
Phone
(414) 649-3626
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 64440-20 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy
Suite 840
Milwaukee, WI 53215-3669

Mailing address

2801, W Kinnickinnic River Parkway,
Suite 840
Milwaukee, WI 53215-4330

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmuthukumar156589@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150916003420 WI Practitioner - Cardiovascular Disease (Cardiology) 1759442924
I20240425000418 WV Practitioner - Cardiovascular Disease (Cardiology) 1759442924 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, shared by 6 NPIs, 90 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64440-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn., Inc CurrentSince Oct 6, 2024 Accepting new patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Camden-Clark Physician Corporation CurrentSince Jan 11, 2026 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Dec 1, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 12, 2024 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Oct 6, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Feb 12, 2024 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Dec 1, 2024 Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

800 Ann St
Parkersburg, WV 26101
Phone (304) 865-5530

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Interoperability endpoints

  • Direct secure messaging: lmuthukumar156589@direct.myadvocateaurora.org

Organizations & group practices 11

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1538315221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801, W KINNICKINNIC RIVER PARKWAY,",
            "address_2": "SUITE 840",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "address_2": "SUITE 840",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-649-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHUKUMAR",
        "first_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "64440-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmuthukumar156589@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 W Kinnickinnic River Pkwy",
            "address_2": "Suite 840",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2801 W Kinnickinnic River Pkwy",
            "address_2": "Suite 840",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.