ANIL KUMAR MUDDADA M.D
NPI 1386877751
Internal Medicine - Nephrology in Lima, OH

Q: What is Anil Muddada's NPI number?

The NPI number for Anil Muddada is 1386877751. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Q: What is Anil Muddada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Anil Muddada was last updated on June 27, 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.

Active since September 01, 2009PECOS EnrolledAccepts Medicare Assignment

750 W HIGH ST, SUITE 150, LIMA, OH 45801(419) 227-1359(419) 227-7586 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Anil Kumar Muddada M.d NPPES

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

ANIL KUMAR MUDDADA M.D (NPI 1386877751) is an individual nephrology provider in Lima, Ohio, licensed in Ohio (35122892) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1386877751

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameANIL KUMAR MUDDADACredential: M.D

Location Address750 W HIGH ST, SUITE 150Lima, OH 45801-2969

Mailing AddressPo Box 636930Cincinnati, OH 45263-6930 · (513) 981-5123 · Fax (513) 981-5015

Phone(419) 227-1359

Fax(419) 227-7586

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 1, 2009

Last NPPES UpdateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1386877751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in OH · 35122892

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2011017861 (MO)

750 W HIGH ST, Lima, OH 45801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Anil Kumar Muddada M.d 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 ID8022288570

PECOS Enrollment IDI20140523000506

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 Reassignments

Medicare enrollment records show Anil Muddada reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Lima Specialty Care LLC

1.2 mi

Surgery

830 W HIGH ST STE 206
Lima, OH 45801

Reassigned Medicare billing, Ohio enrollment
439 clinicians in this Medicare group

NPI 1518589803 (888) 696-3541

Mercy Health Physicians Lima, LLC

1.2 mi

Family Medicine

830 W HIGH ST STE 206
Lima, OH 45801

Reassigned Medicare billing, Ohio enrollment
75 clinicians in this Medicare group

NPI 1225292865 (419) 227-7399

Mercy Health Physicians North Specialty Care LLC

70 mi

Surgery

2200 JEFFERSON AVE
Toledo, OH 43604

Reassigned Medicare billing, Ohio enrollment
690 clinicians in this Medicare group

NPI 1306468418 (888) 696-3541

Mercy Health Physicians-North LLC

70 mi

Family Medicine

2200 JEFFERSON AVE
Toledo, OH 43604

Reassigned Medicare billing, Ohio enrollment
457 clinicians in this Medicare group

NPI 1609000769 (419) 871-6359

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

Areas of Expertise CMS Part B claims 16

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.

1,420 services268 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

447 services345 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

197 services162 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.

188 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

164 services127 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

138 services46 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

136 services29 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

78 services15 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

66 services23 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.

64 services62 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

60 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

47 services47 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

40 services33 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

36 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

26 services19 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

24 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360009

Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County

Emergency services Birthing friendly

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360032

Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County

Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number360058

Location800 West Main StreetColdwater, OH 45828 · Mercer County

Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360089

Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,080 services$0.29 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims2,880 services$0.20 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers15 claims2,640 services$0.89 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

3 suppliers23 claims24 services$18.93 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

4 suppliers27 claims28 services$12.47 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.

SUSAN DEBELL

Technician/Technologist

750 W HIGH ST
LIMA, OH 45801

Allen County (419) 229-3300

MRS. RUTH ANN GROTHOUSE C-NP

Nurse Practitioner (Family)

750 W HIGH ST, SUITE 300
LIMA, OH 45801

Allen County (419) 229-6781

IN HOUSE INTERNISTS, INC

Internal Medicine

750 W HIGH ST, SUITE 200
LIMA, OH 45801

Allen County (419) 229-2622

KIDNEY SERVICES OF WEST CENTRAL OHIO LTD

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

750 W HIGH ST, STE 100
LIMA, OH 45801

Allen County (419) 227-0918

LIMA EYE SURGEONS, INC.

Ophthalmology

750 W HIGH ST, SUITE 210
LIMA, OH 45801

Allen County (419) 224-3937

PRATAP BALUSU MD

Internal Medicine

750 W HIGH ST, STE 250
LIMA, OH 45801

Allen County (419) 227-7399

NORMAN OTIS MOSER D.O.

Internal Medicine (Nephrology)

750 W HIGH ST, SUITE 150
LIMA, OH 45801

Allen County (419) 227-1359

KIDNEY & HYPERTENSION ASSOCIATES, INC.

Internal Medicine (Nephrology)

750 W HIGH ST, SUITE 150
LIMA, OH 45801

Allen County (419) 227-1359

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 Anil Muddada's NPI number?

The NPI number for Anil Muddada is 1386877751. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Anil Muddada located?

Anil Muddada practices at 750 W High St Suite 150, Lima, OH 45801. The listed phone number is (419) 227-1359.

What is Anil Muddada's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Anil Muddada enrolled in Medicare?

Yes. Anil Muddada 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.

Which organizations bill Medicare for Anil Muddada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Muddada reassigns Medicare benefits to 4 organizations: Mercy Health Physicians Lima Specialty Care LLC (Lima, OH), Mercy Health Physicians Lima, LLC (Lima, OH), Mercy Health Physicians North Specialty Care LLC (Toledo, OH) and Mercy Health Physicians-North LLC (Toledo, OH). Each 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 Anil Muddada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil Muddada accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Anil Muddada 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 Anil Muddada affiliated with any hospitals?

According to CMS data, Anil Muddada is affiliated with Lima Memorial Health System, Grand Lake Health System, Mercer County Joint Township Community Hospital, Mercy Health-St Rita's Medical Center and Mercy Health - Tiffin Hospital.

When was this NPI record last updated?

The NPPES record for Anil Muddada was last updated on June 27, 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.