Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Mutiso, MD

Individual provider Specialist · NPI 1699750059

Andrew Mutiso, MD is an Emergency Medicine in Prestonsburg, Kentucky. Graduated from University of Kentucky College of Medicine in 1999, 27 years ago. Practices with Green Valley Emergency Physicians, LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
27
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5000 Ky Rte 321
Prestonsburg, KY 41653
Phone: (606) 886-7733
Fax: (606) 886-7400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 38249 (KY)
Specialist Taxonomy 174400000X · Licence 38249 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 38249 (KY)
General Practice Physician Taxonomy 208D00000X · Licence 38249 (KY)

Record details

NPI number1699750059
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024
Mailing addressPo Box 390, Huntington, WV 25708

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Green Valley Emergency Physicians, Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prestonsburg