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SIVA KUMAR MUDDANA
NPI 1306246335
Internal Medicine in Mount Vernon, NY

Active since August 27, 2014PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
12 N 7TH AVE, MONTEFIORE MOUNT VERNON HOSPITAL, MOUNT VERNON, NY 10550(914) 361-8000 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Siva Kumar Muddana NPPES

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

SIVA KUMAR MUDDANA (NPI 1306246335) is an individual internal medicine provider in Mount Vernon, New York, licensed in New Mexico (MD2017-0645) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1306246335
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSIVA KUMAR MUDDANA
Location Address12 N 7TH AVE, MONTEFIORE MOUNT VERNON HOSPITALMount Vernon, NY 10550-2026
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(914) 361-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 27, 2014
Last NPPES UpdateAugust 14, 2017
✔ NPI 1306246335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2017-0645
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12 N 7TH AVE, Mount Vernon, NY 10550
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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

Siva Kumar Muddana 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 ID4688947849
PECOS Enrollment IDI20170911000360
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 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.
247 services114 patients
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.
200 services81 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.
84 services84 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers64 claims64 services$15.40 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers65 claims65 services$75.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHIH-TANG CHANG
Specialist
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 660-8000
ARTHUR H. ELKIND,M.D.,P.C.
Clinic/Center
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 667-2230
MONTEFIORE MOUNT VERNON HOSPITAL
General Acute Care Hospital
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 664-8000
KENNETH R DEE MD
Radiology (Diagnostic Radiology)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (952) 595-1100
MR. ALAN PESCHIERA RPH
Pharmacist
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 361-6087
SUZANA PATEL PHARM D
Pharmacist
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 361-6087
DR. BALASA L PRASAD MD
Anesthesiology
12 N 7TH AVE, ANESTHESIA DEPT - 4TH FLOOR
MOUNT VERNON, NY 10550
Westchester County (914) 667-8136
SHARON DEGANI
Registered Nurse (Psychiatric/Mental Health)
12 N 7TH AVE
MOUNT VERNON, NY 10550
Westchester County (914) 361-7232

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 Siva Kumar Muddana's NPI number?

The NPI number for Siva Kumar Muddana is 1306246335. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Siva Kumar Muddana located?

Siva Kumar Muddana practices at 12 N 7th Ave Montefiore Mount Vernon Hospital, Mount Vernon, NY 10550. The listed phone number is (914) 361-8000.

What is Siva Kumar Muddana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Siva Kumar Muddana enrolled in Medicare?

Yes. Siva Kumar 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.

Is Siva Kumar Muddana affiliated with any hospitals?

According to CMS data, Siva Kumar Muddana is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Siva Kumar Muddana was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.