JEFFRY MUTUC MD, MPH
NPI 1073044046
Family Medicine in New York, NY
About Jeffry Mutuc Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFRY MUTUC MD, MPH (NPI 1073044046) is an individual family medicine provider in New York, New York, licensed in New York (300176) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeffry Mutuc Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeffry Mutuc reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10036
- Reassigned Medicare billing, New York enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10036
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeffry Mutuc's NPI number?
The NPI number for Jeffry Mutuc is 1073044046. It was assigned to this individual provider in the NPPES registry on March 22, 2017.
Where is Jeffry Mutuc located?
Jeffry Mutuc practices at 645 10th Ave, New York, NY 10036. The listed phone number is (212) 265-4500.
What is Jeffry Mutuc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeffry Mutuc enrolled in Medicare?
Yes. Jeffry Mutuc is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeffry Mutuc's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffry Mutuc reassigns Medicare benefits to Ryan-Chelsea Clinton Community Health Center (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffry Mutuc's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffry Mutuc was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeffry Mutuc, MD, MPH · NPI 1073044046
Family Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 22, 2017.
## Identity
- **NPI:** 1073044046 (Entity type: Individual)
- **Enumerated:** March 22, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 300176 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 645 10TH AVE, New York, NY 10036-2904
- **Phone:** (212) 265-4500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ryan-Chelsea Clinton Community Health Center (NPI 1215978960, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1073044046) · Data from the CMS NPPES public registry.