TABITHA MUUTU – Internal Medicine Physician, NPI 1154945475
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,289 INTERNAL MEDICINE in KS
Provider Addresses for TABITHA MUUTU
1010 N KANSAS ST STE 3023
WICHITA, KS 672143124
Phone: (316) 293-2665
Type: Mailing
1501 KINGS HWY
SHREVEPORT, LA 711034228
Phone: (514) 412-1100
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 $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Pharmacosmos Therapeutics Inc. ($24).
Total Amount
$63
General + Research + Ownership
Payments
3
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pharmacosmos Therapeutics Inc. | $24 |
| Amgen Inc. | $20 |
| Janssen Pharmaceuticals, Inc | $18 |
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: 2024-11-15
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 |
|---|---|---|---|---|
| I20241115000584 | I | Internal Medicine | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Internal Medicine | GA | |
| - | UT | |
| Internal Medicine | GA | |
| Internal Medicine | FL | |
| Internal Medicine | VA | |
| Internal Medicine | GA | |
| Nephrology, Internal Medicine | CA | |
| Hospitalist, Internal Medicine | GA | |
| H O S P I T A L I S T | WV |
Reviews
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