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DR. CHARMAINE PRIYANKA MUTUCUMARANA MD
NPI 1487150876
Pediatrics - Pediatric Infectious Diseases in Philadelphia, PA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC INFECTIOUS DISEASES, PHILADELPHIA, PA 19104(267) 425-3377 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charmaine Priyanka Mutucumarana Md NPPES

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

DR. CHARMAINE PRIYANKA MUTUCUMARANA MD (NPI 1487150876) is an individual pediatric infectious diseases provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT224860) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487150876
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameDR. CHARMAINE PRIYANKA MUTUCUMARANACredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC INFECTIOUS DISEASESPhiladelphia, PA 19104
Mailing Address2100 Walnut St Apt 2kPhiladelphia, PA 19103-4874 · (919) 906-0968
Phone(267) 425-3377
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1487150876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in PA · MT224860
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License MT224860 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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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 and accepts Medicare assignment

Dr. Charmaine Priyanka Mutucumarana Md 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 ID6406344811
PECOS Enrollment IDI20251017004099
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.

Hospital Affiliations CMS Care Compare

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

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Charmaine Mutucumarana's NPI number?

The NPI number for Charmaine Mutucumarana is 1487150876. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Charmaine Mutucumarana located?

Charmaine Mutucumarana practices at 3401 Civic Center Blvd Division Of Pediatric Infectious Diseases, Philadelphia, PA 19104. The listed phone number is (267) 425-3377.

What is Charmaine Mutucumarana's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Charmaine Mutucumarana enrolled in Medicare?

Yes. Charmaine Mutucumarana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Charmaine Mutucumarana affiliated with any hospitals?

According to CMS data, Charmaine Mutucumarana is affiliated with Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Charmaine Mutucumarana was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.