TABITHA MUUTU
NPI 1154945475
Internal Medicine in Shreveport, LA
NPI Status: Active since June 02, 2020
Contact Information
1501 KINGS HWY
SHREVEPORT, LA
ZIP 71103
Phone: (514) 412-1100
- Individual
- Female
- Internal Medicine
- PECOS Enrolled
About TABITHA MUUTU
This page provides the complete NPI Profile along with additional information for Tabitha Muutu, an internist established in Shreveport, Louisiana with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1154945475 assigned on June 2020. The practitioner's primary taxonomy code is 207R00000X with license number 94-10332 (KS). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1154945475
- Provider Name
- TABITHA MUUTU
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1501 KINGS HWY SHREVEPORT, LA 71103
- Location Phone
- (514) 412-1100
- Mailing Address
- 1501 KINGS HWY SHREVEPORT, LA 71103
- Mailing Phone
- (514) 412-1100
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-02-2020
- Last Update Date
- 07-26-2021
- Code Navigator
An internist like Tabitha Muutu is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 94-10332
- License State
- KS
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare Participation & PECOS Enrollment Status
Tabitha Muutu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 71103 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $31.15
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 9 | 4 | 5 | 4 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 18 | 4 | 10 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 8 + 4 + 1 + 0 + 4 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1154945475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760475651 | KIMBERLY E MEYER PA-C Individual | Physician Assistant | 1501 KINGS HWY DEPT. OF NEUROSURGERY SHREVEPORT, LA 71103 (318) 813-2921 |
| 1033192828 | MARY T KIM M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 1501 KINGS HWY SHREVEPORT, LA 71103 (318) 675-6154 |
| 1215913611 | DR. EZEKIEL J WETZEL M.D. Individual | Anesthesiology | 1501 KINGS HWY DEPARTMENT OF ANESTHESIA SHREVEPORT, LA 71103 (318) 675-5298 |
| 1689629909 | MR. AARON DEAN CHAUVIN PAC Individual | Physician Assistant | 1501 KINGS HWY SHREVEPORT, LA 71103 (318) 675-6885 |
| 1104860121 | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER Organization | Surgery | 1501 KINGS HWY LSUHSC-S DEPARTMENT OF SURGERY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1497781611 | PHILIP DONALD ISHERWOOD M.D. Individual | Family Medicine | 1501 KINGS HWY SHREVEPORT, LA 71103 (318) 675-5185 |
| 1588690804 | DR. WENDALL A WILSON M.D. Individual | Internal Medicine | 1501 KINGS HWY DEPARTMENT OF INTERNAL MEDICINE, RHEUMATOLOGY SECTION SHREVEPORT, LA 71103 (318) 675-7737 |
| 1861422065 | MS. NANCY K BUSHNELL-HARPER MA, LPC Individual | Counselor | 1501 KINGS HWY LSUHSC-S DEPARMTENT OF PSYCHIATRY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1417980533 | MICHAEL LORING MADDEN M.D. Individual | Family Medicine | 1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE SHREVEPORT, LA 71103 (318) 441-1061 |
| 1952334237 | LARRY JOHATHAN EMBREE JR. M.D. Individual | Psychiatry & Neurology (Neurology) | 1501 KINGS HWY DEPARTMENT OF NEUROLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1447283734 | ALIREZA MINAGAR M.D. Individual | Psychiatry & Neurology (Neurology) | 1501 KINGS HWY DEPARTMENT OF NEUROLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1871526160 | ROSARIO MARIA RIEL-ROMERO M.D. Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1501 KINGS HWY DEPARTMENT OF NEUROLOGY SHREVEPORT, LA 71103 (318) 813-2482 |
| 1992738215 | DR. LAUREN MOONAN YOREK M.D. Individual | Emergency Medicine | 1501 KINGS HWY DEPARTMENT OF EMERGENCY MEDICINE SHREVEPORT, LA 71103 (318) 675-7757 |
| 1972536068 | FREDERICK DEAN HEARD M.D. Individual | Family Medicine | 1501 KINGS HWY DEPARTMENT OF FAMILY MEDICINE SHREVEPORT, LA 71103 (318) 675-8032 |
| 1639102759 | EDWARD HOPKINS LEATHERMAN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1501 KINGS HWY DEPARTMENT OF PSYCHIATRY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1114951134 | GRACE C TENORIO M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1477587301 | DEEPTI SHUKLA MBBS Individual | Pathology (Anatomic Pathology) | 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1750315693 | PATRICK A ADEGBOYEGA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1501 KINGS HWY DEPARTMENT OF PATHOLOGY SHREVEPORT, LA 71103 (318) 675-7737 |
| 1164455168 | RONALD GILBERT NIERMAN LPC Individual | Counselor (Professional) | 1501 KINGS HWY DEPARTMENT OF PSYCHIATRY SHREVEPORT, LA 71103 (318) 813-2445 |
| 1407881550 | DR. OLUGBENGA A AKINGBOLA M.D. Individual | Pediatrics | 1501 KINGS HWY DEPARTMENT OF PEDIATRICS SHREVEPORT, LA 71103 (318) 675-7737 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154945475, enumerated in the NPI registry as an "individual" on June 02, 2020
The provider is located at 1501 Kings Hwy Shreveport, La 71103 and the phone number is (514) 412-1100
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $124.6 with an average copayment of $31.15 for new patient appointments. Established patients should expect a typical charge of $95.09 and an average copayment of 23.77. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 02, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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