PORNTHIRA MUTIRANGURA
NPI 1225768112
Internal Medicine - Cardiovascular Disease in Rochester, MN

Q: What is Pornthira Mutirangura's NPI number?

The NPI number for Pornthira Mutirangura is 1225768112. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Q: What is Pornthira Mutirangura's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since June 14, 2022PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pornthira Mutirangura NPPES

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

PORNTHIRA MUTIRANGURA (NPI 1225768112) is an individual cardiovascular disease provider in Rochester, Minnesota, licensed in Minnesota (80062) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225768112

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NamePORNTHIRA MUTIRANGURA

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511 · Fax (507) 284-0702

Phone(507) 284-2511

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJune 14, 2022

Last NPPES UpdateJune 8, 2026

NPPES CertifiedJune 8, 2026

✔ NPI 1225768112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MN · 80062

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 1420 Delaware Street SE, MMC 284Minneapolis, MN 55455-0341 · Phone (612) 626-5454

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pornthira Mutirangura is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385024793

PECOS Enrollment IDI20260612002345

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

EMILY LEASURE MD

Internal Medicine