Active NPI
Anbu Durai Muthusamy, M.D.
- Neonatal-Perinatal Medicine Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- N5270
- Practice address
- 2831 E President George Bush Hwy
Richardson, TX 75082-3561 - Phone
- (214) 343-6663
- Fax
- (214) 343-2814
- NPI assigned
- Jun 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 50578 | WI | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | N5270 | TX | Primary |
Addresses
Primary practice location
2831 E President George Bush Hwy
Richardson, TX 75082-3561
Mailing address
1121 E Spring Creek Pkwy.
Ste. 110, #319
Plano, TX 75074-3569
Phone (214) 343-6663
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amuthusamy11118@direct.sw.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50578 | WI | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetree Pediatrics PLLC | Current | Accepting new patients | |
| Pediatrix Medical Group of Texas Billing, Inc. | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Magella Medical Associates Billing, Inc. | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Methodist Hospitals of Dallas | Past | Accepting new patients | |
| Christus Health Southeast Texas | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
3500 Gaston Ave
Dallas, TX 75246
12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800
8195 Custer Rd
Ste 110
Frisco, TX 75035
Phone (469) 830-8835
2831 George Bush Hwy
Richardson, TX 75082
Phone (469) 204-1000
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
3001 George Bush Hwy
Ste 225
Richardson, TX 75082
Phone (817) 250-2892
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Frisco, TX
- NPI 1790519452
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
-
- General Acute Care Hospital
- Beaumont, TX
- NPI 1679557888
-
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1689870511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 E SPRING CREEK PKWY.",
"address_2": "STE. 110, #319",
"city": "PLANO",
"state": "TX",
"postal_code": "750743569",
"telephone_number": "214-343-6663",
"fax_number": "214-343-2814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 E PRESIDENT GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823561",
"telephone_number": "214-343-6663",
"fax_number": "214-343-2814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHUSAMY",
"first_name": "ANBU",
"middle_name": "DURAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WI",
"license": "50578",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "N5270",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amuthusamy11118@direct.sw.org",
"affiliation": "N",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.