USHA RANI MUTHYALA M.D.
NPI 1396935888
Hospitalist in Belleville, IL

Q: What is Usha Muthyala's NPI number?

The NPI number for Usha Muthyala is 1396935888. It was assigned to this individual provider in the NPPES registry on July 31, 2007.

Q: What is Usha Muthyala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Usha Muthyala was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 31, 2007PECOS EnrolledAccepts Medicare Assignment

211 S 3RD ST, BELLEVILLE, IL 62220(618) 234-2120(618) 641-5806 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Usha Rani Muthyala M.d. NPPES

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

USHA RANI MUTHYALA M.D. (NPI 1396935888) is an individual hospitalist provider in Belleville, Illinois, licensed in Illinois (036138373) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Depaul Hospital St Louis, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1396935888

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameUSHA RANI MUTHYALACredential: M.D.

Location Address211 S 3RD STBelleville, IL 62220-1915

Mailing Address211 S 3rd StBelleville, IL 62220-1915 · (618) 234-2120 · Fax (618) 641-5806

Phone(618) 234-2120

Fax(618) 641-5806

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 31, 2007

Last NPPES UpdateJuly 28, 2015

✔ NPI 1396935888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in IL · 036138373✔ Licensed in MO · 2010019780

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2010019780 (MO)

211 S 3RD ST, Belleville, IL 62220

Open in Google Maps ↗

Other Identifiers 3

Medicaid1396935888MO

Medicaid1396925888IL

Medicare PIN991390026MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Usha Rani Muthyala 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 ID4981738614

PECOS Enrollment IDI20100817001283

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 Reassignments

Medicare enrollment records show Usha Muthyala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of Missouri, Inc

26 mi

Critical Care Medicine

1015 BOWLES AVE
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
255 clinicians in this Medicare group

NPI 1780961599 (615) 377-5600

Sound Physicians Of Illinois, LLC

29 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Missouri enrollment
301 clinicians in this Medicare group

NPI 1043598865 (314) 344-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

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.

282 services189 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.

225 services111 patients

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.

115 services114 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

56 services54 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

45 services35 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.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260104

Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62220 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

95%57 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ALLAN SCHWARTZ CRNA

Nurse Anesthetist, Certified Registered