DR. KRISHNAMALLIKA MUTYALA MD
NPI 1528299880
Pediatrics - Pediatric Endocrinology in Dayton, OH

Q: What is Krishnamallika Mutyala's NPI number?

The NPI number for Krishnamallika Mutyala is 1528299880. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Q: What is Krishnamallika Mutyala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Active since August 05, 2009PECOS EnrolledAccepts Medicare Assignment

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-4000(937) 641-4500 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2023, Oct 19, 2021, Jan 11, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Krishnamallika Mutyala Md NPPES

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

DR. KRISHNAMALLIKA MUTYALA MD (NPI 1528299880) is an individual pediatric endocrinology provider in Dayton, Ohio, licensed in Ohio (35.134216) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1528299880

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. KRISHNAMALLIKA MUTYALACredential: MD

Location Address1 CHILDRENS PLZDayton, OH 45404-1815

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-3000

Phone(937) 641-4000

Fax(937) 641-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 5, 2009

Last NPPES UpdateOctober 16, 20235 updates tracked since enumeration

NPPES CertifiedOctober 16, 2023

✔ NPI 1528299880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in OH · 35.134216

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

1 CHILDRENS PLZ, Dayton, OH 45404

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Other Identifiers 1

Medicaid0296480OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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 and accepts Medicare assignment

Dr. Krishnamallika Mutyala 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 ID5395991699

PECOS Enrollment IDI20190129003574

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP

Pediatrics (Pediatric Critical Care Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANYA PAUL M.D

Pediatrics (Pediatric Emergency Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

NICOLE LYNNE-BENDT SCOTT

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

CODY H MCMILLAN

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANIA MONTENEGRO MS, MPH

Genetic Counselor, MS

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-5923

MS. FAITH ANGELA CALLIF-DALEY M.S.

Genetic Counselor, MS

1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404

Montgomery County (937) 641-5645

DR. EMMETT H BROXSON JR. MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3111

DR. RAMAKRISHNA MUTYALA MD

Pediatrics (Pediatric Gastroenterology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-4000

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 Krishnamallika Mutyala's NPI number?

The NPI number for Krishnamallika Mutyala is 1528299880. It was assigned to this individual provider in the NPPES registry on August 5, 2009.

Where is Krishnamallika Mutyala located?

Krishnamallika Mutyala practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-4000.

What is Krishnamallika Mutyala's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Krishnamallika Mutyala enrolled in Medicare?

Yes. Krishnamallika Mutyala 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.

What insurance does Krishnamallika Mutyala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Krishnamallika Mutyala 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 Krishnamallika Mutyala was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.