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DR. ABIJAH MUTHYALA M.D.
NPI 1528465655
Internal Medicine in Maplewood, MN

Active since December 04, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 326-7200 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Jun 15, 2018, Apr 20, 2018 (3 updates tracked since 2018).

About Dr. Abijah Muthyala M.d. NPPES

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

DR. ABIJAH MUTHYALA M.D. (NPI 1528465655) is an individual internal medicine provider in Maplewood, Minnesota, licensed in Minnesota (63818) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1528465655
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ABIJAH MUTHYALACredential: M.D.
Location Address1575 BEAM AVEMaplewood, MN 55109
Mailing Address8901 Mission RdLeawood, KS 66206-1709
Phone(651) 326-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 4, 2014
Last NPPES UpdateOctober 18, 20233 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1528465655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MN · 63818✔ Licensed in MO · 2018012787
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 63818 (MN)
1575 BEAM AVE, Maplewood, MN 55109
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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. Abijah Muthyala M.d. 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 ID7214291764
PECOS Enrollment IDI20180710001309
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
130 services125 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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.

BRIAN TOLLY M.D.
Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (920) 915-9034
YONG YANG
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-6177
GRETCHEN L HANSON CNNP
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7000
DR. NATHAN DEAN SWENSON M.D.
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7348
NICHOLAS BASIL LOUDAS
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
HTOO BWAY INTERPRETER
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Ramsey County (651) 232-2917
HEALTHEAST ST. JOHN'S HOSPITAL
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
DR. RAHUL KORANNE MD
Hospitalist
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7800

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 Abijah Muthyala's NPI number?

The NPI number for Abijah Muthyala is 1528465655. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Abijah Muthyala located?

Abijah Muthyala practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 326-7200.

What is Abijah Muthyala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abijah Muthyala enrolled in Medicare?

Yes. Abijah Muthyala 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 Abijah Muthyala accept?

Health plans from Medica and Sanford Health Plan list Abijah Muthyala 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.

Is Abijah Muthyala affiliated with any hospitals?

According to CMS data, Abijah Muthyala is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Abijah Muthyala was last updated on October 18, 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.