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DR. JERRY M MUTUA M.D.
NPI 1184686149
Family Medicine in Chicago, IL

Active since April 05, 2006PECOS Enrolled
326 W 64TH ST, ST. BERNARDS HOSPITAL, CHICAGO, IL 60621(773) 994-5502(773) 994-7405 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jerry M Mutua M.d. NPPES

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

DR. JERRY M MUTUA M.D. (NPI 1184686149) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036062092) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184686149
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JERRY M MUTUACredential: M.D.
Location Address326 W 64TH ST, ST. BERNARDS HOSPITALChicago, IL 60621-3114
Mailing Address6810 S Euclid AveChicago, IL 60649-1510 · (773) 994-5502 · Fax (773) 994-7405
Phone(773) 994-5502
Fax(773) 994-7405
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateFebruary 25, 2009
✔ NPI 1184686149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036062092
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
326 W 64TH ST, Chicago, IL 60621
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Other Identifiers 5

Other207Q0000XIL · Taxonomy
Medicaid036062092IL
Medicare UPIND14669IL
Medicare PINK12665IL
Medicare PINIL1219001IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry M Mutua M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jerry Mutua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foundation For Emergency Services
Same address
Emergency Medicine
326 W 64TH ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 49 clinicians in this Medicare group
NPI 1467468280 (773) 962-3900

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 60621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MARIA RIZA BAUTISTA MD SC
Clinic/Center
326 W 64TH ST, SUITE # 302
CHICAGO, IL 60621
Cook County (773) 487-5224
MRS. CARMESHA PATRICE CARRINGTON FNP-C
Nurse Practitioner (Family)
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-3900
SARAH BUCKLEY
Dietitian, Registered
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-4201
DR. JACQUES FOURCAND M.D.
Internal Medicine (Cardiovascular Disease)
326 W 64TH ST, SUITE 208
CHICAGO, IL 60621
Cook County (773) 962-3900
DR. BRAHMA N GUPTA M.D.
Internal Medicine (Pulmonary Disease)
326 W 64TH ST, SUITE 208
CHICAGO, IL 60621
Cook County (773) 962-3900
CATHERINE M WILBERT, MD, FACOG, SC
Obstetrics & Gynecology
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-4644
EUGENE CHUKUDEBELU MD SC
Internal Medicine (Cardiovascular Disease)
326 W 64TH ST, SUITE 318
CHICAGO, IL 60621
Cook County (773) 723-9500
WOMEN'S HEALTH CENTER SOUTH
Obstetrics & Gynecology
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-4644

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 Jerry Mutua's NPI number?

The NPI number for Jerry Mutua is 1184686149. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Jerry Mutua located?

Jerry Mutua practices at 326 W 64th St St. Bernards Hospital, Chicago, IL 60621. The listed phone number is (773) 994-5502.

What is Jerry Mutua's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jerry Mutua enrolled in Medicare?

Yes. Jerry Mutua is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jerry Mutua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Mutua reassigns Medicare benefits to Foundation For Emergency Services (Chicago, IL). 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 Jerry Mutua'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 Jerry Mutua was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.