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MINU MATHEW PUTHUPPALLY FNP-C
NPI 1477422152
Nurse Practitioner - Family in Troy, MI

Active since November 01, 2025PECOS Enrolled
2212 LAKESIDE DR, TROY, MI 48085(248) 635-2361 Get Directions Write a Review

NPPES record last updated: November 1, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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

NPI1477422152
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMINU MATHEW PUTHUPPALLYCredential: FNP-C
Location Address2212 LAKESIDE DRTroy, MI 48085-1043
Mailing Address2212 Lakeside DrTroy, MI 48085-1043
Phone(248) 635-2361
Sole ProprietorNo
Enumeration DateNovember 1, 2025
NPPES CertifiedNovember 1, 2025
✔ NPI 1477422152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704374146
2212 LAKESIDE DR, Troy, MI 48085
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minu Mathew Puthuppally Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

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 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.