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PRITHVI MUDDANA MD
NPI 1275199689
Hospitalist in Tyler, TX

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
11937 US HWY 271, ATTN: KATE WELLS, TYLER, TX 75708(903) 877-7000 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2023, Feb 17, 2023, May 13, 2019 (3 updates tracked since 2019).

About Prithvi Muddana Md NPPES

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

PRITHVI MUDDANA MD (NPI 1275199689) is an individual hospitalist provider in Tyler, Texas, licensed in Texas (U1974) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275199689
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePRITHVI MUDDANACredential: MD
Location Address11937 US HWY 271, ATTN: KATE WELLSTyler, TX 75708
Mailing Address11937 Us Hwy 271, Attn: Kate WellsTyler, TX 75708 · (903) 877-7000
Phone(903) 877-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 13, 2019
Last NPPES UpdateJune 5, 20233 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1275199689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · U1974
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License U1974 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10068792 (TX)
11937 US HWY 271, Tyler, TX 75708
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1811 S Washington AveMarshall, TX 75670-5336 · Phone (903) 927-6000
Location 2700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-1488
Location 3701 E Marshall Ave Ste 400Longview, TX 75601-5595 · Phone (903) 315-5600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prithvi Muddana Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335512870
PECOS Enrollment IDI20230302001572
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
268 services135 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
226 services107 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
202 services189 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
82 services82 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450032
Location700 E Marshall AveLongview, TX 75601 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DR. KATHERINE DOWELL DO
Student in an Organized Health Care Education/Training Program
11937 US HWY 271, ATTN: KATE WELLS GRADUATE MEDICAL EDUCATION
TYLER, TX 75708
Smith County (903) 877-7000
DR. LEWIS G SMITH III MD
Radiology (Radiation Oncology)
11937 US HWY 271
TYLER, TX 75708
Smith County (903) 877-7777
MR. MARVIN HECK MD
Student in an Organized Health Care Education/Training Program
11937 US HWY 271
TYLER, TX 75708
Smith County (903) 877-7777
DR. JAMIE LIBRIZZI M.D.
Pediatrics
11937 US HWY 271
TYLER, TX 75708
Smith County (903) 877-7200
DR. ROBERT SIGALA MD
Emergency Medicine
11937 US HWY 271, ATTN: KATE WELLS
TYLER, TX 75708
Smith County (903) 877-7000
DR. JULIE V PHILLEY MD
Internal Medicine (Pulmonary Disease)
11937 US HWY 271
TYLER, TX 75708
Smith County (903) 877-7777

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 Prithvi Muddana's NPI number?

The NPI number for Prithvi Muddana is 1275199689. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Prithvi Muddana located?

Prithvi Muddana practices at 11937 Us Hwy 271 Attn: Kate Wells, Tyler, TX 75708. The listed phone number is (903) 877-7000.

What is Prithvi Muddana's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Prithvi Muddana enrolled in Medicare?

Yes. Prithvi Muddana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prithvi Muddana accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Prithvi Muddana 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.

Is Prithvi Muddana affiliated with any hospitals?

According to CMS data, Prithvi Muddana is affiliated with Christus Good Shepherd Medical Center.

When was this NPI record last updated?

The NPPES record for Prithvi Muddana was last updated on June 5, 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.