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DR. MOUNIKA MUTTINENI DO
NPI 1659934651
Pediatrics in Minneapolis, MN

Active since April 16, 2019PECOS Enrolled
2450 RIVERSIDE AVE # AO-301, MINNEAPOLIS, MN 55454(612) 672-7422 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2022, Apr 16, 2019 (2 updates tracked since 2019).

About Dr. Mounika Muttineni Do NPPES

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

DR. MOUNIKA MUTTINENI DO (NPI 1659934651) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (71694) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659934651
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MOUNIKA MUTTINENICredential: DO
Location Address2450 RIVERSIDE AVE # AO-301Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave # Ao-301Minneapolis, MN 55454-1450
Phone(612) 672-7422
Sole ProprietorNo
Enumeration DateApril 16, 2019
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1659934651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 71694
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2450 RIVERSIDE AVE # AO-301, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mounika Muttineni Do 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.

Medicare Billing Reassignment

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

Children's Hospital
932 mi
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group
NPI 1780800128 (202) 476-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 2

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

LISA QIU DO
Pediatrics (Pediatric Emergency Medicine)
2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-6678
DR. WALID MAALOULI M.D.
Pediatrics (Adolescent Medicine)
2450 RIVERSIDE AVE # AO-301
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-5451

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 Mounika Muttineni's NPI number?

The NPI number for Mounika Muttineni is 1659934651. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Mounika Muttineni located?

Mounika Muttineni practices at 2450 Riverside Ave # Ao-301, Minneapolis, MN 55454. The listed phone number is (612) 672-7422.

What is Mounika Muttineni's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mounika Muttineni enrolled in Medicare?

Yes. Mounika Muttineni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mounika Muttineni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mounika Muttineni reassigns Medicare benefits to Children's Hospital (Washington, DC). 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 Mounika Muttineni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mounika Muttineni was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.