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MRUNALINI DANDAMUDI
NPI 1639800170
Internal Medicine in Bronx, NY

Active since June 23, 2022PECOS Enrolled

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrunalini Dandamudi NPPES

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

MRUNALINI DANDAMUDI (NPI 1639800170) is an individual internal medicine provider in Bronx, New York, licensed in West Virginia (36641) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639800170
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRUNALINI DANDAMUDI
Location Address4422 3RD AVEBronx, NY 10457-2594
Mailing Address4422 3rd Ave Unit 6hBronx, NY 10457-2594 · (718) 960-6202
Phone(718) 960-6202
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2022
Last NPPES UpdateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1639800170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 36641
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4422 3RD AVE, Bronx, NY 10457
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Secondary Practice Location 1

Location 13200 MacCorkle Avenue, SE, 4th FloorCharleston, WV 25304-1227 · Phone (304) 388-8200 · Fax (304) 388-7010

Other Identifiers 1

Medicaid1639800170WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrunalini Dandamudi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466919352
PECOS Enrollment IDI20260811002518
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 Reassignment

Medicare enrollment records show Mrunalini Dandamudi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charleston Area Medical Center, Inc.
411 mi
Hospitalist
1320 MAPLEWOOD AVE
Ronceverte, WV 24970
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1972125995 (304) 793-2220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

NAI LI D.O.
Emergency Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
ADERINOLA OMONIYI PHARMD
Pharmacist
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6179
CATHERINE AKRAM TAWFIK DO
Dermatology
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6649
VALENTYNA OLINCHUK MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-6211
DUSAY SALIH MD
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
KATHLEEN DIMAGGIO CNM, NP
Advanced Practice Midwife
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9415
DR. ROBERT ADLAI MENKEL M.D.
Internal Medicine
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000
DEEPIKA KURUP
Student in an Organized Health Care Education/Training Program
4422 3RD AVE
BRONX, NY 10457
Bronx County (718) 960-9000

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 Mrunalini Dandamudi's NPI number?

The NPI number for Mrunalini Dandamudi is 1639800170. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Mrunalini Dandamudi located?

Mrunalini Dandamudi practices at 4422 3rd Ave, Bronx, NY 10457. The listed phone number is (718) 960-6202.

What is Mrunalini Dandamudi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mrunalini Dandamudi enrolled in Medicare?

Yes. Mrunalini Dandamudi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mrunalini Dandamudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mrunalini Dandamudi reassigns Medicare benefits to Charleston Area Medical Center, Inc. (Ronceverte, WV). 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 Mrunalini Dandamudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mrunalini Dandamudi accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mrunalini Dandamudi 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.

When was this NPI record last updated?

The NPPES record for Mrunalini Dandamudi was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.