Active NPI
Mayoora Muthu, D.O.
- Internal Medicine Physician
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C2-0011888
- Practice address
- 4755 Ogletown Stanton Rd Ste 5A43
Christiana Hospital
Newark, DE 19718-2200 - Phone
- (302) 623-0188
- NPI assigned
- Jun 14, 2013
- Last updated
- Nov 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C2-0011888 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd Ste 5A43
Christiana Hospital
Newark, DE 19718-2200
Mailing address
4755 Ogletown Stanton Rd Ste 5A43
Christiana Hospital
Newark, DE 19718-2200
Phone (302) 623-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- West Virginia University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 Holcombe Blvd
Unit 1654
Houstom, TX 77030-4009
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Referral Service | Current | Accepting new patients | |
| University of Texas M. D. Anderson Cancer Center | Past | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478476800000",
"number": "1881033660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"address_2": "CHRISTIANA HOSPITAL",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 5A43",
"address_2": "CHRISTIANA HOSPITAL",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-623-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTHU",
"first_name": "MAYOORA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2016-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DE",
"license": "C2-0011888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.