MANJULA MUDDULURU MD
NPI 1184741852
Pediatrics - Neonatal-Perinatal Medicine in Odessa, TX

Q: What is Manjula Mudduluru's NPI number?

The NPI number for Manjula Mudduluru is 1184741852. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Manjula Mudduluru's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Manjula Mudduluru was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 26, 2007PECOS Enrolled

701 W 5TH ST, ODESSA, TX 79763(432) 703-5310(432) 335-5354 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Manjula Mudduluru Md NPPES

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

MANJULA MUDDULURU MD (NPI 1184741852) is an individual neonatal-perinatal medicine provider in Odessa, Texas, licensed in Texas (Q3243) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184741852

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameMANJULA MUDDULURUCredential: MD

Location Address701 W 5TH STOdessa, TX 79763

Mailing Address701 W 5th St Ste 3142Odessa, TX 79763-4206 · (432) 703-5310 · Fax (432) 335-5354

Phone(432) 703-5310

Fax(432) 335-5354

Sole ProprietorNo

Enumeration DateMarch 26, 2007

Last NPPES UpdateJune 14, 2018

✔ NPI 1184741852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TX · Q3243

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License Q3243 (TX)

701 W 5TH ST, Odessa, TX 79763

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manjula Mudduluru 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.

Medicare Billing Reassignment

Medicare enrollment records show Manjula Mudduluru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas

0.8 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

520 E 6TH ST
Odessa, TX 79761

Reassigned Medicare billing, Texas enrollment
5,299 clinicians in this Medicare group

NPI 1588804496 (214) 645-0624

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ADETOMIWA OGUNDERE M.D.

Internal Medicine

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5375

DR. CARLOS NIETO JR. M.D.

Pediatrics (Pediatric Critical Care Medicine)

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 335-1500

AMOGE CHINENYE OPARA MD

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5238

DR. STEPHANIE VILLARREAL M.D.

Pediatrics

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 335-2222

MERIDITH LYNN BUZBEE

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5083

CARINA ROSE GOODART

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5238

CHUKWUDIKE GREAT NNAJI

Student in an Organized Health Care Education/Training Program

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5238

LUTFOR NESSA MD, MPH

Internal Medicine

701 W 5TH ST
ODESSA, TX 79763

Ector County (432) 703-5375

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 Manjula Mudduluru's NPI number?

The NPI number for Manjula Mudduluru is 1184741852. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Manjula Mudduluru located?

Manjula Mudduluru practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5310.

What is Manjula Mudduluru's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Manjula Mudduluru enrolled in Medicare?

Yes. Manjula Mudduluru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Manjula Mudduluru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Manjula Mudduluru reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Odessa, TX). The 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 Manjula Mudduluru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Manjula Mudduluru accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Manjula Mudduluru as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manjula Mudduluru was last updated on June 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.