DR. PURUSHOTHAMAN MUTHUSAMY (MD) – Interventional Cardiology Physician, NPI 1033473285

DR. PURUSHOTHAMAN MUTHUSAMY (MD) is a healthcare provider. based in Jonesboro, Arkansas. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. MD65319 (TN). The NPI Number for DR. PURUSHOTHAMAN MUTHUSAMY (MD) is 1033473285

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. PURUSHOTHAMAN MUTHUSAMY (MD)
NPI
1033473285
Phone
(870) 936-8000
Address
PO BOX 1960
Enumeration Date
2 July 2012
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656475800
Graduation Year
2007 (19 years ago)
PAC ID
8426287871
Group Practice PAC ID
1658542758
Professional Enrollment ID
I20230906004271
Address ID
TN378493568PO7557XDRXX434
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

84 INTERVENTIONAL CARDIOLOGY in AR

Provider Addresses for DR. PURUSHOTHAMAN MUTHUSAMY (MD)

  • PO BOX 1960

    JONESBORO, AR 724031960

    Phone: (870) 936-8000

    Fax: (870) 934-3630

    Type: Mailing

  • 4802 E JOHNSON AVE

    JONESBORO, AR 724058413

    Phone: (870) 936-8000

    Fax: (870) 934-3630

    Type: Location

  • 3340 E GOLDSTONE DR

    MERIDIAN, ID 83642

    Phone: (208) 302-0200

    Fax: (208) 302-0255

    Type: Mailing

  • 4424 E FLAMINGO AVE

    STE 300

    NAMPA, ID 83687

    Phone: (208) 302-0200

    Fax: (208) 302-0255

    Type: Location

  • 7557B DANNAHER DR STE 225

    POWELL, TN 378493568

    Phone: (865) 647-5800

    Fax: (865) 647-5979

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $1,280.

Total Amount is formed as General ($1,280) + Research ($0) + Ownership ($0) = $1,280.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($381).

Total Amount

$1,280

General + Research + Ownership

Payments

66

Total payment records

General Amount

$1,280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190806004069IInterventional CardiologyIDTBD
I20191015003067IInterventional CardiologyORTBD
I20210913000846ICardiovascular Disease (Cardiology)ARTBD
I20220125001406IInterventional CardiologyCOTBD
I20230906004271IInterventional CardiologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes203146$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function184176$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report11199$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9866$0
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician8181$0
View full utilization report →

Insurance plans in this area (ZIP 72403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658542758View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)TN
Nurse PractitionerTN
Cardiac ElectrophysiologyTN
-TN
Nurse PractitionerTN
Interventional CardiologyTN
Internal Medicine, Cardiovascular Disease (Cardiology)NJ
Nurse PractitionerTN
Cardiovascular Disease (Cardiology), Internal MedicineTN
Interventional Cardiology, Cardiovascular Disease (Cardiology)KY

Reviews

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Frequently asked questions

Does DR. PURUSHOTHAMAN MUTHUSAMY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PURUSHOTHAMAN MUTHUSAMY (MD) uses 1033473285.
Is DR. PURUSHOTHAMAN MUTHUSAMY (MD) listed as active for patients and plans?
The listing shows DR. PURUSHOTHAMAN MUTHUSAMY (MD) as active in the NPI system.
What taxonomy line describes DR. PURUSHOTHAMAN MUTHUSAMY (MD)?
For research purposes, treat DR. PURUSHOTHAMAN MUTHUSAMY (MD) as Interventional Cardiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PURUSHOTHAMAN MUTHUSAMY (MD)?
DR. PURUSHOTHAMAN MUTHUSAMY (MD)'s geographic hint is Jonesboro, Arkansas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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