Pritesh Mutha, M.D., DIPABLM, MPH
NPI 1386871598 · Gastroenterology Physician · Houston, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pritesh Mutha, M.D., DIPABLM, MPH is a Gastroenterology Physician provider in Houston, TX (NPI 1386871598).
Provider details
- NPI number
- 1386871598
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., DIPABLM, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- MT194941 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
398 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 50 | $162 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $123 |
| Exam of Common Bile And/Or Pancreatic Duct Using a Flexible Endoscope43273 | 38 | $119 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 34 | $66 |
| Removal of Stone Or Debris From Bile Or Pancreatic Duct Using a Flexible Endoscope43264 | 32 | $122 |
| Review By Radiologist of Image From Tube Placement Into Bile Duct Using an Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 82 | 38 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 70 | 65 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Peg-3350 and Electrolytes | 26 | 25 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 14 | 13 |
| Omeprazole | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$664 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-15
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Frequently asked questions
- What is Pritesh Mutha's NPI number?
- Pritesh Mutha's National Provider Identifier (NPI) is 1386871598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pritesh Mutha's specialty?
- Pritesh Mutha is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Pritesh Mutha located?
- Pritesh Mutha's practice location on file with NPPES is 6400 Fannin St Ste 1400, Houston, TX 77030-1512.
- What is Pritesh Mutha's phone number?
- The practice phone number listed in the NPPES registry for Pritesh Mutha is (713) 704-3450.
- Does Pritesh Mutha accept Medicare?
- Pritesh Mutha is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pritesh Mutha's NPI active?
- Yes — Pritesh Mutha's NPI (1386871598) is active in the NPPES registry as of the last update on 2022-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.