REDDIAH BABU MUMMANENI M.D.
NPI 1568516987
Psychiatry & Neurology - Neurology in Cedar Park, TX

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
1401 MEDICAL PKWY, BLDG B STE 313, CEDAR PARK, TX 78613(512) 528-7202(512) 341-7204 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reddiah Babu Mummaneni M.d. NPPES

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

REDDIAH BABU MUMMANENI M.D. (NPI 1568516987) is an individual neurology provider in Cedar Park, Texas, licensed in Texas (P4210) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Cedar Park Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1568516987
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameREDDIAH BABU MUMMANENICredential: M.D.
Location Address1401 MEDICAL PKWY, BLDG B STE 313Cedar Park, TX 78613-7763
Mailing Address1401 Medical Pkwy Ste 412Cedar Park, TX 78613-5015 · (512) 528-7202 · Fax (512) 341-7204
Fax(512) 341-7204
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
NPI 1568516987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TX · P4210
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License P4210 (TX)
1401 MEDICAL PKWY, Cedar Park, TX 78613

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

Reddiah Babu Mummaneni 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 ID8921199365
PECOS Enrollment IDI20121211000480
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 9

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.

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.
363 services281 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.
168 services156 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.
96 services96 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
59 services34 patients
Nerve conduction, 13 or more studies 95913
Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.
47 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.69
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%420 patients1/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
37%270 patients2/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%860 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,163 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
9%683 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%1,873 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 854 patients
Patients tobacco: 12% · 51 patients
88%854 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers350 claims350 services$32.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
18 suppliers226 claims226 services$70.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers231 claims665 services$27.02 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers143 claims818 services$14.93 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
18 suppliers133 claims762 services$11.80 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
22 suppliers290 claims290 services$44.80 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.

Nurse Practitioner (Family)
1401 MEDICAL PKWY, B SUITE 407
CEDAR PARK, TX 78613
Internal Medicine (Critical Care Medicine)
1401 MEDICAL PKWY
CEDAR PARK, TX 78613
Durable Medical Equipment & Medical Supplies
1401 MEDICAL PKWY, BLDG B, STE 220
CEDAR PARK, TX 78613
Internal Medicine (Pulmonary Disease)
1401 MEDICAL PKWY
CEDAR PARK, TX 78613
Dermatology
1401 MEDICAL PKWY, BUILDING B, SUITE 300
CEDAR PARK, TX 78613
Physician Assistant
1401 MEDICAL PKWY
CEDAR PARK, TX 78613
Internal Medicine
1401 MEDICAL PKWY, BLDG B, #220
CEDAR PARK, TX 78613
Nurse Practitioner (Primary Care)
1401 MEDICAL PKWY
CEDAR PARK, TX 78613

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 Reddiah Mummaneni's NPI number?

The NPI number for Reddiah Mummaneni is 1568516987. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Reddiah Mummaneni located?

Reddiah Mummaneni practices at 1401 Medical Pkwy Bldg B Ste 313, Cedar Park, TX 78613. The listed phone number is (512) 528-7202.

What is Reddiah Mummaneni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Reddiah Mummaneni enrolled in Medicare?

Yes. Reddiah Mummaneni 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 Reddiah Mummaneni accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Reddiah Mummaneni 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 Reddiah Mummaneni affiliated with any hospitals?

According to CMS data, Reddiah Mummaneni is affiliated with Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Reddiah Mummaneni was last updated on August 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.