Muthamilan Chinnairusan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

41979 Issued in KY

Practice address

1997 Barrett CT
Henderson, KY 42420-2667

Phone

(270) 826-3538

Fax

(270) 827-2779

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• FL-I Medical Services, LLC

  • Physician Assistant
  • Margate, FL
  • NPI 1780959643
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229644800000",
    "number": "1912161076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1079",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191079",
            "telephone_number": "270-827-0353",
            "fax_number": "270-827-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 BARRETT CT",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202667",
            "telephone_number": "270-826-3538",
            "fax_number": "270-827-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNAIRUSAN",
        "first_name": "MUTHAMILAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "41979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100053500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000575930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Chambliss
• Brandon A Chappell, DO
• Myles T Chavira, NP
• Diana Marie Cherry, P.T.A.
• Maliyah Devon Chinn
• Christina Gail Hanor Mitchell (Mitchell Speech Therapy)
• Drue Clark, PHARMD
• Leslie Mason Clark, R.D., L.D.
• Jinnyi Clements, AGCNS-BC
• Andrea Lynn Clemons

• Pediatrics Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; 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.

Verify at the official NPI Registry.