Manikyam Mutyala (NPI# 1326068198, PAC ID# 7810971462) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1326068198 |
| PAC ID by PECOS | 7810971462 |
| Professional Enrollment ID | I20040614000546 |
| Full Name | Manikyam Mutyala |
| Address |
934 Manhattan Ave Brooklyn NY 11222-5928 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330193 | FLUSHING HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 134 Greenpoint Ave, Brooklyn, NY 11222-6577 | ||
| 934 Manhattan Ave, Brooklyn, NY 11222-5928 | ||
| 14601 45th Ave, Flushing, NY 11355-2280 | TJH MEDICAL SERVICES PC | |
| 4500 Parsons Blvd, Flushing, NY 11355-2205 | 7186705868 | TJH MEDICAL SERVICES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 37% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 37% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% |
| Street Address |
934 MANHATTAN AVE |
| City | BROOKLYN |
| State | NY |
| Zip | 11222-5928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Urszula S Kopec | Psychiatry | 934 Manhattan Ave, Brooklyn, NY 11222-1698 | |
| Alina Marek | Psychiatry | 934 Manhattan Ave, Brooklyn, NY 11222-5928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barak J Greenfield | Otolaryngology | Ear, Nose and Throat Associates of New York,p.c. | 1002 Manhattan Ave, Brooklyn, NY 11222-1314 |
| Roni M Keller | Otolaryngology | Ear, Nose and Throat Associates of New York,p.c. | 1002 Manhattan Ave, Brooklyn, NY 11222-1314 |
| Keidy Sanchez | Qualified Audiologist | Ear, Nose and Throat Associates of New York,p.c. | 1002 Manhattan Ave, Brooklyn, NY 11222-1314 |
| Enoch C Chan | Psychiatry | 960 Manhattan Ave, Brooklyn, NY 11222-1625 | |
| Alyssa Knowles | Podiatry | Tbhc Physician Services PC | 960 Manhattan Ave, Brooklyn, NY 11222-1625 |
| Mark D Ambrose | Psychiatry | Outreach Development Corporation | 960 Manhattan Ave, Brooklyn, NY 11222-1625 |
| Jennie Sucilskyterman | Clinical Social Worker | Outreach Development Corporation | 960 Manhattan Ave, Brooklyn, NY 11222-1625 |
| Michael N Kiselow | Optometry | 909 Manhattan Ave, Brooklyn, NY 11222-2163 | |
| Andrzej Salita | Family Medicine | 126 Greenpoint Ave, Brooklyn, NY 11222-2202 | |
| Urszula Salita | Family Medicine | 126 Greenpoint Ave, Brooklyn, NY 11222-2202 | |
| Find all physicians in zip 11222 | |||
| City | BROOKLYN |
| Zip Code | 11222 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | BROOKLYN + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Manikyam Mutyala.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.