KRISHNA A-J MUTGI – Dermatology Physician, NPI 1720346133
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 DERMATOLOGY in OH
Provider Addresses for KRISHNA A-J MUTGI
2200 JEFFERSON AVE FL 5
TOLEDO, OH 436047102
Phone:
Type: Mailing
3900 SUNFOREST CT STE 114
TOLEDO, OH 436234440
Phone: (567) 225-3407
Fax: (537) 225-3408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 312 Open Payments records for all available years, with a total value of $40,102.
Total Amount is formed as General ($40,102) + Research ($0) + Ownership ($0) = $40,102.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($35,554).
Total Amount
$40,102
General + Research + Ownership
Payments
312
Total payment records
General Amount
$40,102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $35,554 |
| Regeneron Healthcare Solutions, Inc. | $893 |
| ABBVIE INC. | $649 |
| E.R. Squibb & Sons, L.L.C. | $416 |
| PFIZER INC. | $202 |
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: 2017-09-14
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 |
|---|---|---|---|---|
| I20170914002852 | I | Dermatology | OH | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 7,000 | 29 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 441 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 358 | 261 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 166 | 144 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 131 | 121 | $0 |
Insurance plans in this area (ZIP 43604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH | |
| - | OH | |
| D E R M A T O L O G Y | OH | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | PA | |
| D E R M A T O L O G Y | MI | |
| Plastic And Reconstructive Surgery | OH | |
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | OH |
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