MR. ALEXANDER THOMAS MUT PA-C
NPI 1083268676
Physician Assistant - Surgical in Warwick, RI

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since July 31, 2019PECOS EnrolledAccepts Medicare Assignment

300 CROSSINGS BLVD, WARWICK, RI 02886(401) 777-7000 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 22, 2024, Dec 9, 2019, Dec 4, 2019 and 1 more (4 updates tracked since 2019).

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About Mr. Alexander Thomas Mut Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALEXANDER THOMAS MUT PA-C (NPI 1083268676) is an individual surgical provider in Warwick, Rhode Island, licensed in Rhode Island (PA01672) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083268676

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. ALEXANDER THOMAS MUTCredential: PA-C

Location Address300 CROSSINGS BLVDWarwick, RI 02886-2878

Mailing Address300 Crossings BlvdWarwick, RI 02886-2878 · (401) 777-7000

Phone(401) 777-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 31, 2019

Last NPPES UpdateApril 22, 20244 updates tracked since enumeration

NPPES CertifiedApril 22, 2024

✔ NPI 1083268676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in RI · PA01672✔ Licensed in WA · PA61000082

300 CROSSINGS BLVD, Warwick, RI 02886

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Alexander Thomas Mut Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759716699

PECOS Enrollment IDI20240530001748

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

69 services68 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services48 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

42 services42 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

32 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

23 services23 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

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.

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