PARVATHI MUDIGONDA MD
NPI 1104184480
Internal Medicine - Cardiovascular Disease in Tacoma, WA
About Parvathi Mudigonda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARVATHI MUDIGONDA MD (NPI 1104184480) is an individual cardiovascular disease provider in Tacoma, Washington, licensed in Washington (MD60947017) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Parvathi Mudigonda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Parvathi Mudigonda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Mill Creek, WA 98012
- Reassigned Medicare billing, Washington enrollment
- 705 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TACOMA, WA 98405
TACOMA, WA 98405
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 Parvathi Mudigonda's NPI number?
The NPI number for Parvathi Mudigonda is 1104184480. It was assigned to this individual provider in the NPPES registry on April 24, 2012.
Where is Parvathi Mudigonda located?
Parvathi Mudigonda practices at 209 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 596-3300.
What is Parvathi Mudigonda's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Parvathi Mudigonda enrolled in Medicare?
Yes. Parvathi Mudigonda is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Parvathi Mudigonda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Parvathi Mudigonda reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of Washington (Renton, WA) and Providence Health & Services- Washington (Mill Creek, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Parvathi Mudigonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Parvathi Mudigonda was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Parvathi Mudigonda, MD · NPI 1104184480
Cardiovascular Disease physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since April 24, 2012.
## Identity
- **NPI:** 1104184480 (Entity type: Individual)
- **Enumerated:** April 24, 2012
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD60947017 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405-4265
- **Phone:** (253) 596-3300 · **Fax:** (253) 596-3301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA); Providence Health & Services- Washington (NPI 1790014504, Mill Creek, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104184480) · Data from the CMS NPPES public registry.