SURAJ REDDY MUDDASANI MD
NPI 1376129106
Dermatology in Puyallup, WA

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
1703 S MERIDIAN STE 101, PUYALLUP, WA 98371(253) 446-3904 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Suraj Reddy Muddasani Md NPPES

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

SURAJ REDDY MUDDASANI MD (NPI 1376129106) is an individual dermatology provider in Puyallup, Washington, licensed in Washington (MD61657223) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Cincinnati College Of Medicine And Surgery (2021).

NPPES Registry Identity

NPI1376129106
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSURAJ REDDY MUDDASANICredential: MD
Location Address1703 S MERIDIAN STE 101Puyallup, WA 98371-7590
Mailing Address1703 S Meridian Ste 101Puyallup, WA 98371-7590 · (253) 446-3904
Sole ProprietorNo
Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 2021
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1376129106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WA · MD61657223
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1703 S MERIDIAN STE 101, Puyallup, WA 98371

Accepted 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

Suraj Reddy Muddasani 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 ID840707188
PECOS Enrollment IDI20250730002089
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.

Hospital Affiliations CMS Care Compare

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

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98371 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 19

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

Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Optometrist
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Dermatology
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Ophthalmology
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Ophthalmology (Retina Specialist)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Ophthalmology
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Physician Assistant
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371
Dermatology (Pediatric Dermatology)
1703 S MERIDIAN STE 101
PUYALLUP, WA 98371

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376129106, enumerated as an "individual" on March 22, 2021.

The provider is located at 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 and the phone number is (253) 446-3904.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.

Suraj Muddasani is affiliated with: TACOMA GENERAL ALLENMORE HOSPITAL.