PRAVEEN MUDUMBA
NPI 1184322984
Perfusionist in Plymouth, MI

NPI Status: Active since February 21, 2023

Contact Information

45211 HELM ST STE 110
PLYMOUTH, MI
ZIP 48170
Phone: (734) 525-9712

NPI Profile Information
Primary Taxonomy
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Perfusionist
CLIA Number: 23D2054535
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 02-24-2027

About PRAVEEN MUDUMBA

This page provides the complete NPI Profile along with additional information for Praveen Mudumba, a provider established in Plymouth, Michigan with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1184322984 assigned on February 2023. The practitioner's primary taxonomy code is 242T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1184322984
Provider Name: PRAVEEN MUDUMBA
Gender: Male
Entity Type: Individual
Location Address: 45211 HELM ST STE 110 PLYMOUTH, MI 48170
Location Phone: (734) 525-9712
Mailing Address: 45211 HELM ST STE 110 PLYMOUTH, MI 48170
Mailing Phone: (734) 525-9712
Is Sole Proprietor?: No
Enumeration Date: 02-21-2023
Last Update Date: 02-21-2023
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Perfusionist
Taxonomy Code: 242T00000X
Type: Technologists, Technicians & Other Technical Service Providers
Taxonomy Description: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 23D2054535
Facility Type: Physician Office
Certificate Effective Date: February 25, 2025
Certificate Expiration Date: February 24, 2027
Laboratory Director: PRAVEEN K. MODI
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Praveen Mudumba to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1184322984, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 6

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 16 → 1 + 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 6 + 4 + 6 + 2 + 4 + 9 + 1 + 6 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1184322984.