DIYA F. MUTASIM M. D. NPI 1992759377

NPI Information

  • NPI: 1992759377
  • Provider Name: DIYA F. MUTASIM, M. D.
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 222 PIEDMONT AVE
    CINCINNATI, OH
    ZIP 45219
  • Phone: (513) 475-7630

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NPI Details

Diya F. Mutasim, M. D. is a dermatopathology dermatology in Cincinnati, OH with 46 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Antibody evaluation, each additional single antibody stain procedure (HCPCS:88350)
  • Antibody evaluation, initial single antibody stain procedure (HCPCS:88346)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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