DR. ARUNKUMAR MUTHUSAMY (MD) – Gastroenterology Physician, NPI 1861745507

DR. ARUNKUMAR MUTHUSAMY (MD) is a healthcare provider. based in Waterloo, Iowa. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD44624 (IA). The NPI Number for DR. ARUNKUMAR MUTHUSAMY (MD) is 1861745507

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARUNKUMAR MUTHUSAMY (MD)
NPI
1861745507
Phone
(319) 234-5990
Address
1015 S HACKETT RD
Enumeration Date
18 October 2012
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128711145
Graduation Year
2007 (19 years ago)
PAC ID
0749583078
Group Practice PAC ID
8123016557
Professional Enrollment ID
I20220811000296
Address ID
MN551231370EA1185XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

161 GASTROENTEROLOGY in IA

Provider Addresses for DR. ARUNKUMAR MUTHUSAMY (MD)

  • 1015 S HACKETT RD

    WATERLOO, IA 507013500

    Phone: (319) 234-5990

    Type: Location

  • PO BOX 2758

    WATERLOO, IA 507042758

    Phone: (248) 766-6636

    Type: Mailing

  • 10150 MAPLE GROVE LANE N #210

    MAPLE GROVE, MN 55369

    Phone: (612) 871-1145

    Fax: (612) 870-5491

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-08-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220811000296IGastroenterologyMNTBD

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
J3380Injection, vedolizumab, 1 mg5,10013$0
88305Pathology examination of tissue using a microscope, intermediate complexity14977$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare6767$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4545$0
99214Established patient office or other outpatient visit, 30-39 minutes3532$0
View full utilization report →

Insurance plans in this area (ZIP 50701)

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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: 8123016557View full group profile
NameSpecialtyState
-MN
-MN
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
G A S T R O E N T E R O L O G YMN
Pediatric Medicine, GastroenterologyMN

Reviews

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Frequently asked questions

What is the standard ID for DR. ARUNKUMAR MUTHUSAMY (MD) in the U.S.?
In the U.S., DR. ARUNKUMAR MUTHUSAMY (MD) is identified by NPI 1861745507.
Does the public listing show DR. ARUNKUMAR MUTHUSAMY (MD) as active?
DR. ARUNKUMAR MUTHUSAMY (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. ARUNKUMAR MUTHUSAMY (MD)'s specialty?
The extract shows Gastroenterology Physician for DR. ARUNKUMAR MUTHUSAMY (MD). Clinical services aligned with this taxonomy classification.
Is DR. ARUNKUMAR MUTHUSAMY (MD) tied to Waterloo, Iowa?
If you are local to Waterloo, Iowa, DR. ARUNKUMAR MUTHUSAMY (MD) may be relevant to your search.
Why is information missing for DR. ARUNKUMAR MUTHUSAMY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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