MINU MATHEW PUTHUPPALLY FNP-C
NPI 1477422152
Nurse Practitioner - Family in Troy, MI
About Minu Mathew Puthuppally Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINU MATHEW PUTHUPPALLY FNP-C (NPI 1477422152) is an individual family provider in Troy, Michigan, licensed in Michigan (4704374146) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Minu Mathew Puthuppally Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Minu Mathew Puthuppally reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Troy, MI 48084
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Minu Mathew Puthuppally's NPI number?
The NPI number for Minu Mathew Puthuppally is 1477422152. It was assigned to this individual provider in the NPPES registry on November 1, 2025.
Where is Minu Mathew Puthuppally located?
Minu Mathew Puthuppally practices at 2212 Lakeside Dr, Troy, MI 48085. The listed phone number is (248) 635-2361.
What is Minu Mathew Puthuppally's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Minu Mathew Puthuppally enrolled in Medicare?
Yes. Minu Mathew Puthuppally is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Minu Mathew Puthuppally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minu Mathew Puthuppally reassigns Medicare benefits to Neil D Jaddou MD PC (Troy, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Minu Mathew Puthuppally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Minu Mathew Puthuppally accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Minu Mathew Puthuppally 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.
When was this NPI record last updated?
The NPPES record for Minu Mathew Puthuppally was last updated on November 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Minu Mathew Puthuppally, FNP-C · NPI 1477422152
Family physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since November 1, 2025.
## Identity
- **NPI:** 1477422152 (Entity type: Individual)
- **Enumerated:** November 1, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704374146 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2212 LAKESIDE DR, Troy, MI 48085-1043
- **Phone:** (248) 635-2361
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Neil D Jaddou MD PC (NPI 1679655823, Troy, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477422152) · Data from the CMS NPPES public registry.