DR. PETHAM MUTHUSWAMY M.D. NPI 1205922770

NPI Information

NPI: 1205922770
Provider Name: DR. PETHAM MUTHUSWAMY, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
7531 SOUTH STONY ISLAND
SUITE 169
CHICAGO, IL
ZIP 60649
Phone: (773) 947-7715
Get Directions

DR. Petham Muthuswamy, M.D. is a pulmonary disease internal medicine in Chicago, IL with 54 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Petham Muthuswamy, M.D. NPI is 1205922770. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7531 SOUTH STONY ISLAND
SUITE 169
CHICAGO, IL
ZIP 60649
Phone: (773) 947-7715
Fax: (773) 643-0175

The NPI 1205922770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036047024	ILLINOIS	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	03604724	ILLINOIS	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	03604724	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202773	OTHER	ILLINOIS	UNITED HEALTH CARE
2	3048491	OTHER	TENNESSEE	BCBS OF TN
3	0002201085	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
4	362993972	OTHER	ILLINOIS	TAX ID #
5	362993972	OTHER	ILLINOIS	COMMERCIAL INSURANCES
6	110017592	OTHER	ILLINOIS	TRM
7	4880209	OTHER	ILLINOIS	SHARE
8	46K13	OTHER	ILLINOIS	EMPIRE BCBS
9	036047024	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »