BOBBY KOSHY MUTHALALY (MD) – Nephrology Physician, NPI 1457375586
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
123 NEPHROLOGY in OK
Loading map...
Provider Addresses for BOBBY KOSHY MUTHALALY (MD)
Williams Medical Plaza, 2000, South Wheeling Avenue, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States of America
STE. 510
TULSA, OK 741045649
Phone: (918) 747-5200
Fax: (918) 748-7517
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 128 Open Payments records for all available years, with a total value of $5,256.
Total Amount is formed as General ($5,256) + Research ($0) + Ownership ($0) = $5,256.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($2,910).
Total Amount
$5,256
General + Research + Ownership
Payments
128
Total payment records
General Amount
$5,256
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $2,910 |
| AstraZeneca Pharmaceuticals LP | $573 |
| Amgen Inc. | $301 |
| Novartis Pharmaceuticals Corporation | $185 |
| Otsuka America Pharmaceutical, Inc. | $140 |
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: 2024-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101004001201 | I | Nephrology | OK | TBD |
| I20240718003014 | I | Nephrology | TX | 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 |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 468 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 378 | 238 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 328 | 163 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 266 | 138 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 118 | 115 | $0 |
Insurance plans in this area (ZIP 74104)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Nephrology, Internal Medicine | OK | |
| N E P H R O L O G Y | OK | |
| Nurse Practitioner | OK | |
| Nephrology, Internal Medicine | OK | |
| Nurse Practitioner | OK | |
| Nephrology, Internal Medicine | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK | |
| Nurse Practitioner | OK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.