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MITHUNAN MAHESWARANATHAN M.D.
NPI 1255744876
Internal Medicine in Charleston, SC

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425(843) 792-0435 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mithunan Maheswaranathan M.d. NPPES

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

MITHUNAN MAHESWARANATHAN M.D. (NPI 1255744876) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL36884) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2014).

NPPES Registry Identity

NPI1255744876
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMITHUNAN MAHESWARANATHANCredential: M.D.
Location Address169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333Charleston, SC 29425-8905
Mailing Address169 Ashley Ave, Room 202 Main Hospital, Msc 333Charleston, SC 29425-8905
Phone(843) 792-0435
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2014
Enumeration DateJune 11, 2014
✔ NPI 1255744876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL36884
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.
Also ListedPediatricsTaxonomy 208000000X · License LL36884 (SC)
169 ASHLEY AVE, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Mithunan Maheswaranathan 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 ID6709104862
PECOS Enrollment IDI20201203001984
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
115 services76 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 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services12 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

MR. BRUCE ALAN REEVES PT
Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Charleston County (843) 792-3481
KRISTINA CALAMIA
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3881
EMILY MCGILL MD
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2185
PAIGE WOODHAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
KATIE FLOWER M.D.
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Charleston County (216) 385-5459
JENNIE HYEJIN KWON MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3072
DR. BRIAN ELLIS JACOBS MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
HANNAH ELIZABETH PRESSLER
Internal Medicine
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 754-7275

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 Mithunan Maheswaranathan's NPI number?

The NPI number for Mithunan Maheswaranathan is 1255744876. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Mithunan Maheswaranathan located?

Mithunan Maheswaranathan practices at 169 Ashley Ave Room 202 Main Hospital, Msc 333, Charleston, SC 29425. The listed phone number is (843) 792-0435.

What is Mithunan Maheswaranathan's specialty?

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

Is Mithunan Maheswaranathan enrolled in Medicare?

Yes. Mithunan Maheswaranathan 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.

What insurance does Mithunan Maheswaranathan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Mithunan Maheswaranathan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mithunan Maheswaranathan affiliated with any hospitals?

According to CMS data, Mithunan Maheswaranathan is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Mithunan Maheswaranathan was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.