VIJAYA MUMMADI M.D. NPI 1003026410

Internal Medicine in Dallas, TX

NPI 1003026410 Individual Female Years of Experience 19 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About VIJAYA MUMMADI

Vijaya Mummadi is an internal medicine provider established in Dallas, Texas and her medical specialization is internal medicine with more than 19 years of experience. The NPI number of Vijaya Mummadi is 1003026410 and was assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X with license number N5268 (TX). The provider is registered as an individual and her NPI record was last updated 2 years ago.

An internist like Vijaya Mummadi M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Vijaya Mummadi is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Vijaya Mummadi is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Texas Health Presbyterian Hospital Dallas.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: e-prescribing, health information exchange exclusion, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, provide patient access and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003026410

Provider Name VIJAYA MUMMADI M.D.
Provider Location Address9900 N CENTRAL EXPY STE 225 DALLAS, TX 75231
Provider Mailing Address9900 N CENTRAL EXPY STE 225 DALLAS, TX 75231
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-23-2007
Last Update Date10-16-2019


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.N5268
License StateTX
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

VIJAYA MUMMADI M.D.
9900 N CENTRAL EXPY STE 225
DALLAS, TX
ZIP 75231
Phone: (469) 646-8880
Fax: (469) 646-8884

Get Directions


Mailing Address

VIJAYA MUMMADI M.D.
9900 N CENTRAL EXPY STE 225
DALLAS, TX
ZIP 75231
Phone: (469) 646-8880
Fax: (469) 646-8884



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID5597950543
PECOS Enrollment IDI20101116000671
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 109Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 57Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 41Administration of influenza virus vaccine (HCPCS:G0008)
  • 31Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 21Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
e-Prescribing 99% 2093
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education 2% 461
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 1% 461
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vijaya Mummadi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS8200 WALNUT HILL LANE
DALLAS, TX 75231
(214) 345-6789Acute Care Hospitals450462

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine4301086385MINo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineME106499FLNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2172397MEDICAID (05)TX

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134571938 CAROLYN SHAW
Individual
Specialist/Technologist (Speech-Language Assistant)9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(214) 265-0420
1750838306MRS. MARY ELSTON PTA
Individual
Physical Therapy Assistant9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(214) 265-0420
1518480367 ALMA ROSA GUTIERREZ
Individual
Specialist/Technologist (Speech-Language Assistant)9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(214) 265-0420
1073031332 PATRICIA ANN COX COTA
Individual
Occupational Therapy Assistant9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(720) 472-2650
1336650092 LORA MORVANT CCC-SLP
Individual
Speech-Language Pathologist9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(469) 364-8680
1144719261 LACEY GEDDIE
Individual
Occupational Therapy Assistant9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(214) 265-0420
1649764408 BONNIE GRACE PAYNE
Individual
Speech-Language Pathologist9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(830) 221-8022
1386129534 BLAIR VIEHE
Individual
Occupational Therapy Assistant9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(214) 265-0420
1417412867 CREANA KIRAN PATEL OT
Individual
Occupational Therapist9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(214) 265-0420
1891952461DALLAS MEDICAL, PLLC
Organization
Internal Medicine9900 N CENTRAL EXPY STE 225
DALLAS, TX 75231
(469) 646-8880

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.