Individual provider Active NPI

Nitisha Mutgi, MD

  • Obstetrics & Gynecology Physician
  • Huntington, WV
National Provider Identifier
1750640165
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35128795 Issued in OH
Practice address
1600 Medical Center Dr
Ste 4500
Huntington, WV 25701-3656
Phone
(304) 691-1400
Fax
(304) 691-1453
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 35128795 OH Primary

Addresses

Primary practice location

1600 Medical Center Dr
Ste 4500
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr
Ste 4500
Huntington, WV 25701-3656
Phone (304) 691-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006000468 OH Practitioner - Obstetrics/Gynecology 6608019484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood County Womens Care of Bowling Green, LLCGroup PAC ID 0648260729, 7 clinicians

Practice addresses (Care Compare)

1214 Ridgewood Dr
Bowling Green, OH 43402-2664
Phone (419) 352-8427

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35128795OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wood County Womens Care of Bowling Green, LLC Obstetrics & Gynecology CurrentSince May 6, 2023 Accepting new patients
Wood County Hospital Assn Past Accepting new patients

Locations

1214 Ridgewood Dr
Bowling Green, OH 43402
Phone (419) 352-8427

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

L4285
Columbus, OH 43260

28442 E River Rd
Perrysburg, OH 43551
Phone (419) 872-3201

3150 Bostwick Rd
Perrysburg, OH 43551
Phone (419) 354-8900

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/m6q718FZg_-IH-imjhHk1P9jJGSwQzGK/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nitisha.mutgimd.p1@direct.whc.nextgenshare.com
  • Direct secure messaging: nitisha.mutgimd.p2@direct.whc.nextgenshare.com

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.

Hospital & facility affiliations 4

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": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1750640165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "STE 4500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1400",
            "fax_number": "304-691-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "STE 4500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1400",
            "fax_number": "304-691-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTGI",
        "first_name": "NITISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35128795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.