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DR. SRIKANT MUDDANA MD
NPI 1629125448
Internal Medicine - Gastroenterology in Worcester, MA

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
328 SHREWSBURY ST STE 350, WORCESTER, MA 01604(508) 831-0708(508) 831-9569 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2020, Aug 28, 2020, Sep 25, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Srikant Muddana Md NPPES

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

DR. SRIKANT MUDDANA MD (NPI 1629125448) is an individual gastroenterology provider in Worcester, Massachusetts, licensed in New Hampshire (14889) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of University Of Massachusetts Medical School (2003).

NPPES Registry Identity

NPI1629125448
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SRIKANT MUDDANACredential: MD
Location Address328 SHREWSBURY ST STE 350Worcester, MA 01604-5465
Mailing Address328 Shrewsbury St Ste 350Worcester, MA 01604-5465 · (508) 831-0708 · Fax (508) 831-9569
Phone(508) 831-0708
Fax(508) 831-9569
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2003
Enumeration DateJanuary 4, 2007
Last NPPES UpdateSeptember 2, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
✔ NPI 1629125448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NH · 14889
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
328 SHREWSBURY ST STE 350, Worcester, MA 01604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.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

Dr. Srikant Muddana 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 ID7012062185
PECOS Enrollment IDI20111226000005
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

4

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

New England Gastroenterology Associates, PC
1.0 mi
Gastroenterology
100 CENTRAL ST, 4TH FLOOR
Worcester, MA 01608
  • Reassigned Medicare billing, Massachusetts enrollment
  • 3 clinicians in this Medicare group
NPI 1497753958 (508) 831-6708
Heywood Affiliated Medical Group Inc.
24 mi
Urgent Care
266 MAIN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Heywood Medical Group Inc.
  • 218 clinicians in this Medicare group
NPI 1215304589 (978) 630-5030
Henry Heywood Memorial Hospital
24 mi
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Athol Memorial Hospital Incorporated
31 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511

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 7

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
74 services74 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.
67 services48 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
63 services62 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
38 services37 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
27 services27 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01604 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%470 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
8%241 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%275 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
46%600 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%600 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%600 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%600 patients
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.

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 Srikant Muddana's NPI number?

The NPI number for Srikant Muddana is 1629125448. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Srikant Muddana located?

Srikant Muddana practices at 328 Shrewsbury St Ste 350, Worcester, MA 01604. The listed phone number is (508) 831-0708.

What is Srikant Muddana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Srikant Muddana enrolled in Medicare?

Yes. Srikant Muddana 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 Srikant Muddana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srikant Muddana reassigns Medicare benefits to 4 organizations: New England Gastroenterology Associates, PC (Worcester, MA), Heywood Affiliated Medical Group Inc. (Gardner, MA), Henry Heywood Memorial Hospital (Gardner, MA) and Athol Memorial Hospital Incorporated (Athol, MA). 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 Srikant Muddana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Srikant Muddana accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Srikant Muddana 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 Srikant Muddana affiliated with any hospitals?

According to CMS data, Srikant Muddana is affiliated with Heywood Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Srikant Muddana was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.