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DR. ASHA S MUTHALALY MD
NPI 1619144680
Internal Medicine - Rheumatology in Joliet, IL

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
903 N 129TH INFANTRY DR, SUITE 600, JOLIET, IL 60435(815) 744-7246(815) 744-7346 Get Directions Write a Review

NPPES record last updated: November 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Asha S Muthalaly Md NPPES

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

DR. ASHA S MUTHALALY MD (NPI 1619144680) is an individual rheumatology provider in Joliet, Illinois, licensed in Illinois (036123531) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1619144680
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ASHA S MUTHALALYCredential: MD
Location Address903 N 129TH INFANTRY DR, SUITE 600Joliet, IL 60435-3171
Mailing Address903 N 129th Infantry Dr, Suite 600Joliet, IL 60435-3171 · (815) 744-7246 · Fax (815) 744-7346
Phone(815) 744-7246
Fax(815) 744-7346
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 9, 2008
Last NPPES UpdateNovember 8, 2014
✔ NPI 1619144680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036123531
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
903 N 129TH INFANTRY DR, Joliet, IL 60435
Open in Google Maps ↗

Other Identifiers 4

Other213382IL · Group Ptan
Medicaid036123531IL
Other205574037IL · Medicare Id
Medicare PINF400128470IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Asha S Muthalaly 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 ID648326744
PECOS Enrollment IDI20090915000132
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
270 services160 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
60 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services51 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140174
Location1325 N Highland AvenueAurora, IL 60506 · Kane County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Silver Cross Hospital And Medical Centers

Acute Care Hospitals · New Lenox, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140213
Location1900 Silver Cross BlvdNew Lenox, IL 60451 · Will County
Emergency services Birthing friendly

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60435 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTOPHER MICHAEL MCDONOUGH M.D.
Internal Medicine (Pulmonary Disease)
903 N 129TH INFANTRY DR, SUITE #400
JOLIET, IL 60435
Will County (815) 725-2653

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 Asha Muthalaly's NPI number?

The NPI number for Asha Muthalaly is 1619144680. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Asha Muthalaly located?

Asha Muthalaly practices at 903 N 129th Infantry Dr Suite 600, Joliet, IL 60435. The listed phone number is (815) 744-7246.

What is Asha Muthalaly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Asha Muthalaly enrolled in Medicare?

Yes. Asha Muthalaly 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 Asha Muthalaly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Asha Muthalaly 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 Asha Muthalaly affiliated with any hospitals?

According to CMS data, Asha Muthalaly is affiliated with Presence Saint Joseph Medical Center, Presence Mercy Medical Center, Riverside Medical Center, Silver Cross Hospital And Medical Centers and Edward Hospital.

When was this NPI record last updated?

The NPPES record for Asha Muthalaly was last updated on November 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.