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

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: August 02, 2026.

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
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

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

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.

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

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.

Technician/Technologist
750 W HIGH ST
LIMA, OH 45801
Nurse Practitioner (Family)
750 W HIGH ST, SUITE 300
LIMA, OH 45801
Internal Medicine
750 W HIGH ST, SUITE 200
LIMA, OH 45801
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
750 W HIGH ST, STE 100
LIMA, OH 45801
Ophthalmology
750 W HIGH ST, SUITE 210
LIMA, OH 45801
Internal Medicine
750 W HIGH ST, STE 250
LIMA, OH 45801
Internal Medicine (Nephrology)
750 W HIGH ST, SUITE 150
LIMA, OH 45801
Internal Medicine (Nephrology)
750 W HIGH ST, SUITE 150
LIMA, OH 45801

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.

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 CareSource and 4 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.