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DR. PETHAM MUTHUSWAMY M.D.
NPI 1205922770
Internal Medicine - Pulmonary Disease in Chicago, IL

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
7531 SOUTH STONY ISLAND, SUITE 169, CHICAGO, IL 60649(773) 947-7715(773) 643-0175 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Petham Muthuswamy M.d. NPPES

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

DR. PETHAM MUTHUSWAMY M.D. (NPI 1205922770) is an individual pulmonary disease provider in Chicago, Illinois, licensed in Illinois (03604724) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Park Hospital, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1205922770
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PETHAM MUTHUSWAMYCredential: M.D.
Location Address7531 SOUTH STONY ISLAND, SUITE 169Chicago, IL 60649
Mailing Address7531 South Stony Island, Suite 169Chicago, IL 60649 · (773) 947-7715 · Fax (773) 643-0175
Phone(773) 947-7715
Fax(773) 643-0175
Sole ProprietorYes
Medical School CMSOtherGraduated 1970
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1205922770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in IL · 03604724
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036047024 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 03604724 (IL)
7531 SOUTH STONY ISLAND, Chicago, IL 60649
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Other Identifiers 9

Other202773IL · United Health Care
Other3048491TN · Bcbs Of Tn
Other0002201085IL · Blue Cross Blue Shield
Other362993972IL · Tax Id #
Other362993972IL · Commercial Insurances
Other110017592IL · Trm
Other4880209IL · Share
Other46K13IL · Empire Bcbs
Medicaid036047024IL

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

Dr. Petham Muthuswamy M.d. 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 ID3678660719
PECOS Enrollment IDI20071106000440
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 5

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

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
178 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
134 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services24 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.
58 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Jackson Park Hospital

Acute Care Hospitals · Chicago, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140177
Location7531 S Stony Island AveChicago, IL 60649 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60649 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier16 claims32 services$1.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers45 claims48 services$15.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$3.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers103 claims103 services$61.59 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers30 claims30 services$29.63 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers35 claims5,550 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Petham Muthuswamy's NPI number?

The NPI number for Petham Muthuswamy is 1205922770. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Petham Muthuswamy located?

Petham Muthuswamy practices at 7531 South Stony Island Suite 169, Chicago, IL 60649. The listed phone number is (773) 947-7715.

What is Petham Muthuswamy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Petham Muthuswamy enrolled in Medicare?

Yes. Petham Muthuswamy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Petham Muthuswamy affiliated with any hospitals?

According to CMS data, Petham Muthuswamy is affiliated with Jackson Park Hospital.

When was this NPI record last updated?

The NPPES record for Petham Muthuswamy was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.