Individual provider Active NPI

Aditya Muthu, NP

  • Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1710879598
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
278633 Issued in AZ
Practice address
1653 E McMurray Blvd Ste 132
Casa Grande, AZ 85122-5934
Phone
(520) 876-0478
NPI assigned
Jul 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 278633 AZ Primary

Addresses

Primary practice location

1653 E McMurray Blvd Ste 132
Casa Grande, AZ 85122-5934

Mailing address

1410 E Dove PL
Casa Grande, AZ 85122-5254
Phone (520) 705-9199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731001842 AZ Practitioner - Nurse Practitioner 0143738302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
278633AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald Muthu, LLC CurrentSince Jul 17, 2025 Accepting new patients

Locations

1653 E McMurray Blvd
Ste 135
Casa Grande, AZ 85122
Phone (520) 876-0478

1653 E McMurray Blvd
Ste 132
Casa Grande, AZ 85122
Phone (520) 876-0478

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.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1710879598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 E DOVE PL",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225254",
            "telephone_number": "520-705-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 E MCMURRAY BLVD STE 132",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225934",
            "telephone_number": "520-876-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHU",
        "first_name": "ADITYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "278633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.