MOOTHEDATH A MENON M.D.
NPI 1336134014
Internal Medicine - Gastroenterology in Tustin, CA

Q: What is Moothedath Menon's NPI number?

The NPI number for Moothedath Menon is 1336134014. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Moothedath Menon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Moothedath Menon was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 19, 2005PECOS EnrolledAccepts Medicare Assignment

661 W 1ST ST STE G, TUSTIN, CA 92780(714) 665-9890(714) 665-9891 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 12, 2024, Mar 16, 2017 (2 updates tracked since 2017).

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About Moothedath A Menon M.d. NPPES

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

MOOTHEDATH A MENON M.D. (NPI 1336134014) is an individual gastroenterology provider in Tustin, California, licensed in California (A41105) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1336134014

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMOOTHEDATH A MENONCredential: M.D.

Location Address661 W 1ST ST STE GTustin, CA 92780-2939

Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891

Phone(714) 665-9890

Fax(714) 665-9891

Sole ProprietorYes

Medical School CMSOtherGraduated 1972

Enumeration DateSeptember 19, 2005

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1336134014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A41105

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

661 W 1ST ST STE G, Tustin, CA 92780

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Secondary Practice Locations 2

Location 19918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894

Location 211180 Warner Ave Ste 353Fountain Valley, CA 92708-7516 · Phone (714) 968-6789 · Fax (714) 202-2626

Other Identifiers 1

Medicaid00A411050CA

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

Moothedath A Menon 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 ID7214114800

PECOS Enrollment IDI20111108000177

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 9

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

78 services74 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services41 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.

43 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.

40 services32 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

34 services34 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

NICOLE ROLLE NOCHE NP

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