GITA MUKUNDAN
NPI 1184542409
Nurse Practitioner - Family in Dallas, PA
About Gita Mukundan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GITA MUKUNDAN (NPI 1184542409) is an individual family provider in Dallas, Pennsylvania, licensed in Pennsylvania (RN745673) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gita Mukundan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, PA 18612
DALLAS, PA 18612
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 Gita Mukundan's NPI number?
The NPI number for Gita Mukundan is 1184542409. It was assigned to this individual provider in the NPPES registry on July 6, 2026.
Where is Gita Mukundan located?
Gita Mukundan practices at 301 Lake St, Dallas, PA 18612. The listed phone number is (570) 674-6400.
What is Gita Mukundan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Gita Mukundan enrolled in Medicare?
Yes. Gita Mukundan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Gita Mukundan was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Gita Mukundan · NPI 1184542409
Family physician in Dallas, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 6, 2026.
## Identity
- **NPI:** 1184542409 (Entity type: Individual)
- **Enumerated:** July 6, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN745673 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 301 LAKE ST, Dallas, PA 18612-1090
- **Phone:** (570) 674-6400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184542409) · Data from the CMS NPPES public registry.