KEERTHANA DWARAKAN MUGUNDU MD
NPI 1629430897
Hospitalist in Lagrange, GA
About Keerthana Dwarakan Mugundu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEERTHANA DWARAKAN MUGUNDU MD (NPI 1629430897) is an individual hospitalist provider in Lagrange, Georgia, licensed in Georgia (84428) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Keerthana Dwarakan Mugundu 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.
Medicare Billing Reassignment
Medicare enrollment records show Keerthana Mugundu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Douglasville, GA 30135
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar West Georgia Medical Center
Acute Care Hospitals · Lagrange, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
LAGRANGE, GA 30240
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 Keerthana Mugundu's NPI number?
The NPI number for Keerthana Mugundu is 1629430897. It was assigned to this individual provider in the NPPES registry on March 25, 2016.
Where is Keerthana Mugundu located?
Keerthana Mugundu practices at 1514 Vernon Rd, Lagrange, GA 30240. The listed phone number is (706) 812-2369.
What is Keerthana Mugundu's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Keerthana Mugundu enrolled in Medicare?
Yes. Keerthana Mugundu 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 organization bills Medicare for Keerthana Mugundu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keerthana Mugundu reassigns Medicare benefits to Wellstar Medical Group, LLC (Douglasville, GA). The 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 Keerthana Mugundu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keerthana Mugundu accept?
Health plans from Alliant Health Plans, Inc. and Ambetter Health list Keerthana Mugundu 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 Keerthana Mugundu affiliated with any hospitals?
According to CMS data, Keerthana Mugundu is affiliated with Wellstar West Georgia Medical Center.
When was this NPI record last updated?
The NPPES record for Keerthana Mugundu was last updated on February 4, 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.
# Keerthana Dwarakan Mugundu, MD · NPI 1629430897
Hospitalist physician in Lagrange, Georgia. Individual provider, active in the CMS NPPES registry since March 25, 2016.
## Identity
- **NPI:** 1629430897 (Entity type: Individual)
- **Enumerated:** March 25, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 84428 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1514 VERNON RD, Lagrange, GA 30240-4131
- **Phone:** (706) 812-2369
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Wellstar Medical Group, LLC (NPI 1164715132, Douglasville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1629430897) · Data from the CMS NPPES public registry.