DR. RAINA M MUTHUKUMARU MD
NPI 1407485394
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Raina Muthukumaru's NPI number?

The NPI number for Raina Muthukumaru is 1407485394. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Q: What is Raina Muthukumaru's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Raina Muthukumaru was last updated on April 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 03, 2020PECOS Enrolled

69.83/100

CMS Quality Rating

2500 N STATE ST, JACKSON, MS 39216(601) 984-5604 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Raina M Muthukumaru Md NPPES

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

DR. RAINA M MUTHUKUMARU MD (NPI 1407485394) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407485394

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. RAINA M MUTHUKUMARUCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address16047 Nantucket Meadows DrWildwood, MO 63040-1545

Phone(601) 984-5604

Sole ProprietorNo

Enumeration DateApril 3, 2020

NPPES CertifiedApril 3, 2020

✔ NPI 1407485394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2500 N STATE ST, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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 (PECOS)

Dr. Raina M Muthukumaru Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

69.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.08

Promoting Interoperability

Improvement Activities

Cost

48.31

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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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)