DR. RATNABHUSHAN MUTYALA MD
NPI 1639854060
Internal Medicine 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 Internal Medicine with taxonomy code 207R00000X.

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: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD494225) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639854060

Entity TypeIndividualMale

Primary Taxonomy207R00000X

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

Enumeration DateJune 21, 2023

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

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

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in PA · MD494225✔ Licensed in PA · MT228086

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.

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).

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.

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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