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NPISignal

Individual Healthcare Provider

Martin Boniface Gitobu Mutonga

NPI Record: ActiveRadiology — Vascular & Interventional Radiology
NPI1043675028
New Orleans, Louisiana

Provider's NPPES record last updated: February 18, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1043675028
Primary Specialty
Radiology — Vascular & Interventional Radiology
Practice Location
New Orleans, Louisiana
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 11:57 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Vascular & Interventional Radiology

    Allopathic & Osteopathic Physicians

    Primary

    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

    Taxonomy code 2085R0204X
  • Radiology

    Neuroradiology

    Allopathic & Osteopathic Physicians

    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

    Taxonomy code 2085N0700X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Radiology (Louisiana)
345108
Radiology (Louisiana)
345108
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1514 Jefferson Hwy

New Orleans, Louisiana 70121-2429

Phone: (504) 842-3470

Additional Practice Location

240 E Huron St

Suite 1-200

Chicago, Illinois 60611-2909

Phone: (312) 503-7975

Record Information

Enumeration Date
December 17, 2015
Provider's NPPES Record Last Updated
February 18, 2026
Certification Date
February 18, 2026
NPISignal NPPES Dataset
August 2026

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