MATTHEW JUDE MUTTER MD NPI 1417272063

NPI Information

  • NPI: 1417272063
  • Provider Name: MATTHEW JUDE MUTTER, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 880 MADISON AVE
    MEMPHIS, TN
    ZIP 38103
  • Phone: (901) 545-6969

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NPI Details

Matthew Jude Mutter, MD is an urology in Memphis, TN with 16 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Matthew Jude Mutter, MD NPI is 1417272063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2010

The provider's business location address is:

880 MADISON AVE
MEMPHIS, TN
ZIP 38103-409
Phone: (901) 545-6969
Fax: (901) 545-7260

The NPI 1417272063 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 4/6/2010 and was last updated on 6/17/2015.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208800000XUrology52976TENNESSEEYes

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: 11/21/2025

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