Shanmukha Sai Mukthapuram, MD in Wellington, FL

Shanmukha Sai Mukthapuram, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Wellington, Florida. His current practice location is 10101 Forest Hill Blvd, Wellington, Florida. You can reach out to his office (for appointments etc.) via phone at (561) 798-8500.

Shanmukha Sai Mukthapuram is licensed to practice in Florida (license number ME160215) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376983536.

Contact Information

	Shanmukha Sai Mukthapuram, MD
	10101 Forest Hill Blvd, Wellington, FL 33414-6103
	(561) 798-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Shanmukha Sai Mukthapuram
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	10101 Forest Hill Blvd, Wellington, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376983536
Provider Enumeration Date: 07/02/2013
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 0345471967
Enrollment ID: I20190828000668

Medical Identifiers

Medical identifiers for Shanmukha Sai Mukthapuram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376983536	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35.128161 (Ohio)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	ME160215 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shanmukha Sai Mukthapuram allows following entities to bill medicare on his behalf.

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanmukha Sai Mukthapuram is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shanmukha Sai Mukthapuram, MD 3180 S Ocean Dr Apt 1408, Hallandale Beach, FL 33009-7252 Ph: (929) 234-9843	Shanmukha Sai Mukthapuram, MD 10101 Forest Hill Blvd, Wellington, FL 33414-6103 Ph: (561) 798-8500

Reviews and Comments

Pediatrics Doctors in Wellington, FL

Middey Damian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10111 W Forest Hill Blvd, Suite 251, Wellington, FL 33414 Phone: 561-792-1525 Fax: 561-792-1521
Mohamed Chan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 468 Old Country Rd, Wellington, FL 33414 Phone: 561-676-5164
Dr. Michael L. Bruck, M.D., F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd., Suite 402, Wellington, FL 33414 Phone: 561-791-1935 Fax: 561-791-0115
Dr. Lawrence Russell Bergman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd, Ste 303, Wellington, FL 33414 Phone: 561-798-5565 Fax: 561-798-9756
Dr. Edith Michelle Spencer-morales, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10101 Forest Hill Blvd, Wellington, FL 33414 Phone: 561-798-8599
Dr. Jodi Ellen Star, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Guiding Light Wellness Center, 3319 State Road 7 Ste 210, Wellington, FL 33449 Phone: 561-422-3314 Fax: 561-422-3315
Dr. Nataliya G. Stumbo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1447 Medical Park Blvd, Suite 402, Wellington, FL 33414 Phone: 561-790-2600 Fax: 561-790-1535

Shanmukha Sai Mukthapuram, MD - Medicare Pediatrics in Wellington, FL