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DR. LAKSHMI MUDUNURI M.D.
NPI 1508847823
Psychiatry & Neurology - Geriatric Psychiatry in Medford, MA

Active since November 14, 2005PECOS Enrolled
170 GOVERNORS AVE, MEDFORD, MA 02155(781) 306-6163(781) 306-6146 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lakshmi Mudunuri M.d. NPPES

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

DR. LAKSHMI MUDUNURI M.D. (NPI 1508847823) is an individual geriatric psychiatry provider in Medford, Massachusetts, licensed in Massachusetts (58025) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508847823
Entity TypeIndividualFemale
Primary Taxonomy2084P0805X
Provider Legal NameDR. LAKSHMI MUDUNURICredential: M.D.
Location Address170 GOVERNORS AVEMedford, MA 02155-1643
Mailing Address33 Bellis CirCambridge, MA 02140-3207 · (781) 306-6163 · Fax (781) 306-6146
Phone(781) 306-6163
Fax(781) 306-6146
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateMay 19, 2011
✔ NPI 1508847823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in MA · 58025
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
170 GOVERNORS AVE, Medford, MA 02155
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Other Identifiers 6

Other058025Tufts
Other15-80089MA · Evercare
Medicare PINJ06711MA
Medicaid3027350MA
OtherJ06711MA · Bcbs
Medicare UPINB98059MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lakshmi Mudunuri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

ELLEN DIANA KLEE NP
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL-DIABETES CENTER
MEDFORD, MA 02155
Middlesex County (781) 306-6370
MRS. KERRI ANNE DEWOLF
Social Worker (Clinical)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6157
SHARON HALL RNCS
Clinical Nurse Specialist (Psychiatric/Mental Health)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6150
MICHELLE VIDAL LICSW
Social Worker (Clinical)
170 GOVERNORS AVE, LAWRENCE MEMORIAL HOSPITAL
MEDFORD, MA 02155
Middlesex County (781) 306-6008
ANDREA MESSINA N.P.
Nurse Practitioner (Adult Health)
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6000
DR. JOSEPH M MURPHY JR. M.D.
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 391-4106
MRS. CAMILLE ROSE ROSSETTI P.T.A.
Physical Therapy Assistant
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 395-7750
EILEEN WEGENER MD
Internal Medicine
170 GOVERNORS AVE
MEDFORD, MA 02155
Middlesex County (781) 306-6102

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 Lakshmi Mudunuri's NPI number?

The NPI number for Lakshmi Mudunuri is 1508847823. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Lakshmi Mudunuri located?

Lakshmi Mudunuri practices at 170 Governors Ave, Medford, MA 02155. The listed phone number is (781) 306-6163.

What is Lakshmi Mudunuri's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Lakshmi Mudunuri enrolled in Medicare?

Yes. Lakshmi Mudunuri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lakshmi Mudunuri was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.