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DIYA F. MUTASIM M. D. NPI 1992759377


NPI Information

NPI: 1992759377
Provider Name: DIYA F. MUTASIM, M. D.
Classification: Dermatology - 207ND0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
222 PIEDMONT AVE
CINCINNATI, OH
ZIP 45219
Phone: (513) 475-7630
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Diya F. Mutasim, M. D. is a dermatopathology dermatology in Cincinnati, OH with 45 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. Diya F. Mutasim, M. D. NPI is 1992759377. 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:

222 PIEDMONT AVE
CINCINNATI, OH
ZIP 45219-231
Phone: (513) 475-7630
Fax: (513) 475-7636

The NPI 1992759377 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.

  • Antibody evaluation (HCPCS:88350)
  • Antibody evaluation (HCPCS:88346)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/8/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology35.059745OHIONo
2207ND0900XDermatologyDermatopathology35.059745OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MU0665001MEDICARE PINOHIO
2MU0665005MEDICARE PINOHIO
3MU0846953MEDICARE PINOHIO
464869787MEDICAIDKENTUCKY
5070004743OTHEROHIOMEDICARE RR
60781882MEDICAIDOHIO
7070004743OTHEROHIORR MEDICARE
8E68853MEDICARE UPIN
9MU0665002MEDICARE ID-TYPE UNSPECIFIEDOHIO
10MU0846951MEDICARE PINOHIO
11200038080AMEDICAIDINDIANA

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

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.