MOOTHEDATH A MENON (M.D.) – Gastroenterology Physician, NPI 1336134014
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for MOOTHEDATH A MENON (M.D.)
Apple Valley Post Office, 7287, 153rd Street West, Galaxie Commons, Saint Paul, Dakota County, Minnesota, 55124, United States
APPLE VALLEY, CA 923070047
Phone: (760) 242-1090
Fax: (760) 242-3028
Type: Mailing
18056, Wika Road, Apple Valley, San Bernardino County, California, 92307, United States
STE A
APPLE VALLEY, CA 923072125
Phone: (760) 242-1090
Fax: (760) 242-3028
Type: Location
11180 Warner Ave Ste 353
Fountain Valley, CA 927087516
Phone: (714) 968-6789
Fax: (714) 202-2626
Type: Location
9918 Katella Ave Ste A-C
Anaheim, CA 928046465
Phone: (714) 644-9494
Fax: (714) 644-9894
Type: Location
661 W 1ST ST STE G
TUSTIN, CA 927802939
Phone: (714) 665-9890
Fax: (714) 665-9891
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Gilead Sciences, Inc. ($124).
Total Amount
$151
General + Research + Ownership
Payments
3
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $124 |
| Novo Nordisk Inc | $27 |
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: 2011-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111108000177 | I | Internal Medicine | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 68 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 31 | 31 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 31 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $0 |
Insurance plans in this area (ZIP 92307)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | CA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 21 | 21 |
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