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

Active since June 21, 2023PECOS EnrolledAccepts Medicare Assignment
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 25, 2026.

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

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, is affiliated with Temple University Hospital, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ratnabhushan 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Ratnabhushan Mutyala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
3401 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 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.

Where is Ratnabhushan Mutyala located?

Ratnabhushan Mutyala practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.

What is Ratnabhushan Mutyala's specialty?

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

Is Ratnabhushan Mutyala enrolled in Medicare?

Yes. Ratnabhushan 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.

Which organization bills Medicare for Ratnabhushan Mutyala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ratnabhushan Mutyala reassigns Medicare benefits to Temple Faculty Practice Plan Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ratnabhushan Mutyala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ratnabhushan Mutyala affiliated with any hospitals?

According to CMS data, Ratnabhushan Mutyala is affiliated with Temple University Hospital.

When was this NPI record last updated?

The NPPES record for Ratnabhushan Mutyala was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.