SURESHKUMAR MUTTATH MD LLC
NPI 1144256439
Internal Medicine in Riverdale, MD

Active since June 25, 2006CLIA 21D1054321 · Waiver
5711 SARVIS AVE, SUITE 200, RIVERDALE, MD 20737(301) 277-8100(301) 277-0668 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sureshkumar Muttath Md Llc NPPES

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

SURESHKUMAR MUTTATH MD LLC (NPI 1144256439) is a healthcare organization registered as an internal medicine in Riverdale, Maryland and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Sureshkumar Muttath, Director, as its authorized official.

NPPES Registry Identity

NPI1144256439
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSURESHKUMAR MUTTATH MD LLC
Location Address5711 SARVIS AVE, SUITE 200Riverdale, MD 20737-1394
Mailing Address5711 Sarvis Ave, Suite 200Riverdale, MD 20737-1394 · (301) 277-8100 · Fax (301) 277-0668
Fax(301) 277-0668
Organization SubpartNo
Authorized OfficialSureshkumar MuttathDirector · (301) 277-8100
Enumeration DateJune 25, 2006
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1144256439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0058290
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5711 SARVIS AVE, Riverdale, MD 20737

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sureshkumar Muttath Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20110104000882Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sureshkumar Muttath MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1275599458
5711 SARVIS AVE SUITE 200
Riverdale, MD 20737
(301) 277-8100
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D1054321

Suresh Kumar Muttath LLC · Riverdale, MD
Active · expires Jan 24, 2027
CLIA Number21D1054321
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorSureshkumar Muttath MD
Laboratory Phone(301) 277-8100
Laboratory LocationSuresh Kumar Muttath LLC5711 Sarvis Avenue Suite 200, Riverdale, MD 20737
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sureshkumar Muttath MD LLC's NPI number?

The NPI number for Sureshkumar Muttath MD LLC is 1144256439. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Sureshkumar Muttath MD LLC located?

Sureshkumar Muttath MD LLC is located at 5711 Sarvis Ave Suite 200, Riverdale, MD 20737. The listed phone number is (301) 277-8100.

What is Sureshkumar Muttath MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sureshkumar Muttath MD LLC enrolled in Medicare?

Yes. Sureshkumar Muttath MD LLC is registered in the Medicare PECOS enrollment system.

When is Sureshkumar Muttath MD LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Sureshkumar Muttath MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Sureshkumar Muttath MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sureshkumar Muttath MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D1054321) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sureshkumar Muttath MD LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.