Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. RATNABHUSHAN MUTYALA MD
NPI 1639854060
Hospitalist in Philadelphia, PA

Q: What is Ratnabhushan Mutyala's NPI number?

The NPI number for Ratnabhushan Mutyala is 1639854060. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Q: What is Ratnabhushan Mutyala's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since June 21, 2023PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 1, 2026, Jun 21, 2023 (2 updates tracked since 2023).

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About Dr. Ratnabhushan Mutyala Md NPPES

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

DR. RATNABHUSHAN MUTYALA MD (NPI 1639854060) is an individual hospitalist provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD494225) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2023).

NPPES Registry Identity

NPI1639854060

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. RATNABHUSHAN MUTYALACredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5189

Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105

Phone(800) 836-7536

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 2023

Enumeration DateJune 21, 2023

Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration

NPPES CertifiedOctober 1, 2026

✔ NPI 1639854060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD494225

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

3401 N BROAD ST, Philadelphia, PA 19140

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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)

Dr. Ratnabhushan Mutyala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698134401

PECOS Enrollment IDI20260629004812

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 19140 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

DR. JAMIE L. GARFIELD MD

Internal Medicine