DR. PREETHA MUTHUSAMY (MD) – Neuromuscular Medicine (Psychiatry & Neurology) Physician, NPI 1205001161

DR. PREETHA MUTHUSAMY (MD) is a healthcare provider. based in Willoughby hills, Ohio. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 91308 (OH). The NPI Number for DR. PREETHA MUTHUSAMY (MD) is 1205001161

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. PREETHA MUTHUSAMY (MD)
NPI
1205001161
Phone
(330) 268-6489
Address
2210 SPRUCE TRL
Enumeration Date
22 April 2008
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304548076
Graduation Year
2003 (23 years ago)
PAC ID
0143373605
Group Practice PAC ID
2668406059
Professional Enrollment ID
I20090730000354
Address ID
OH447101702CA2600XSWXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,301 NEUROLOGY in OH

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Provider Addresses for DR. PREETHA MUTHUSAMY (MD)

  • 2210, Spruce Trail, Willoughby Hills, Lake County, Ohio, 44094, United States

    UNIT 9

    WILLOUGHBY HILLS, OH 440946702

    Phone: (330) 268-6489

    Type: Mailing

  • 2422, Lake Avenue, Ashtabula, Ashtabula County, Ohio, 44004, United States

    3RD FLOOR

    ASHTABULA, OH 440044985

    Phone: (440) 994-7579

    Type: Location

  • 1932 NILES CORTLAND RD NE

    WARREN, OH 444841055

    Phone: (330) 306-6980

    Fax: (330) 856-5887

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $181.

Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: ABBVIE INC. ($113).

Total Amount

$181

General + Research + Ownership

Payments

9

Total payment records

General Amount

$181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

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: 2009-07-30

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
I20090730000354INeurologyOHTBD

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 minutes395321$0
99213Established patient office or other outpatient visit, 20-29 minutes137130$0
99204New patient office or other outpatient visit, 45-59 minutes9090$0
95816Measurement of brain wave activity (eeg), awake and drowsy5554$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study5534$0
View full utilization report →

Insurance plans in this area (ZIP 44094)

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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: 2668406059View full group profile
NameSpecialtyState
Internal Medicine, HospitalistOH
Internal Medicine, HospitalistOH
Endocrinology, Internal MedicineOH
N E U R O L O G YCO
Plastic And Reconstructive SurgeryOH
Gynecological OncologyFL
Family PracticeOH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does DR. PREETHA MUTHUSAMY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PREETHA MUTHUSAMY (MD) uses 1205001161.
Is DR. PREETHA MUTHUSAMY (MD) listed as active for patients and plans?
The listing shows DR. PREETHA MUTHUSAMY (MD) as active in the NPI system.
What is DR. PREETHA MUTHUSAMY (MD)'s primary classification?
Neuromuscular Medicine (Psychiatry & Neurology) Physician is the headline specialty for DR. PREETHA MUTHUSAMY (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. PREETHA MUTHUSAMY (MD) serve?
DR. PREETHA MUTHUSAMY (MD)'s listing highlights Willoughby Hills, Ohio; more addresses can appear in NPPES.
Why does DR. PREETHA MUTHUSAMY (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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