PRATYUSHA MUDDALOOR MD
NPI 1043903941
Student in an Organized Health Care Education/Training Program in Bristol, PA

Active since May 29, 2023PECOS Enrolled
501 BATH RD, BRISTOL, PA 19007(215) 785-9977 Get Directions Write a Review

NPPES record last updated: May 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pratyusha Muddaloor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRATYUSHA MUDDALOOR MD (NPI 1043903941) is an individual student in an organized health care education/training program in Bristol, Pennsylvania, licensed in Pennsylvania (MT228586) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043903941
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NamePRATYUSHA MUDDALOORCredential: MD
Location Address501 BATH RDBristol, PA 19007-3190
Mailing Address501 Bath RdBristol, PA 19007-3190 · (551) 327-2002
Sole ProprietorNo
Enumeration DateMay 29, 2023
NPPES CertifiedMay 28, 2023
NPI 1043903941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MT228586
Definition

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.

501 BATH RD, Bristol, PA 19007

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pratyusha Muddaloor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
501 BATH RD
BRISTOL, PA 19007
Surgery
501 BATH RD, SUITE 208
BRISTOL, PA 19007
Radiology (Diagnostic Radiology)
501 BATH RD
BRISTOL, PA 19007
Internal Medicine
501 BATH RD
BRISTOL, PA 19007
Internal Medicine
501 BATH RD
BRISTOL, PA 19007
Radiology (Diagnostic Radiology)
501 BATH RD
BRISTOL, PA 19007
Surgery
501 BATH RD
BRISTOL, PA 19007
Internal Medicine
501 BATH RD
BRISTOL, PA 19007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pratyusha Muddaloor's NPI number?

The NPI number for Pratyusha Muddaloor is 1043903941. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Pratyusha Muddaloor located?

Pratyusha Muddaloor practices at 501 Bath Rd, Bristol, PA 19007. The listed phone number is (215) 785-9977.

What is Pratyusha Muddaloor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Pratyusha Muddaloor enrolled in Medicare?

Yes. Pratyusha Muddaloor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pratyusha Muddaloor was last updated on May 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.