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DR. NEEHARIKA MUDDANA M.D.
NPI 1649448911
Internal Medicine - Nephrology in Parkersburg, WV

Active since February 20, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
418 GRAND PARK DR STE 311, PARKERSBURG, WV 26105(304) 865-5105(304) 865-5570 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Jan 9, 2021 (2 updates tracked since 2021).

About Dr. Neeharika Muddana M.d. NPPES

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

DR. NEEHARIKA MUDDANA M.D. (NPI 1649448911) is an individual nephrology provider in Parkersburg, West Virginia, licensed in West Virginia (25695) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1649448911
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NEEHARIKA MUDDANACredential: M.D.
Location Address418 GRAND PARK DR STE 311Parkersburg, WV 26105-4000
Mailing Address418 Grand Park DrParkersburg, WV 26105-4000 · (304) 865-5105 · Fax (304) 865-5570
Phone(304) 865-5105
Fax(304) 865-5570
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 20, 2008
Last NPPES UpdateJanuary 28, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1649448911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in WV · 25695
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301090208 (MI)
418 GRAND PARK DR STE 311, Parkersburg, WV 26105
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Other Names 1

Professional Name (2)Neeharika Muddana M.d.

Other Identifiers 2

Medicaid3810027204WV
Other9310001WV · Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Neeharika Muddana 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 ID1355573403
PECOS Enrollment IDI20140404000129, I20241202001725
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 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.

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.
690 services289 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
469 services182 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
253 services115 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.
122 services122 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services111 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
65 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26105 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers22 claims22 services$16.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers46 claims46 services$90.74 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 4

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

DR. TERRY WILLIAM CAPEL MD
Family Medicine
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 865-5120
MEGAN ANN FLUHARTY PA-C
Physician Assistant
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 424-4350
SIDDHARTH VERMA M.D.
Internal Medicine (Nephrology)
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 865-5026
MR. MICHAEL SCOGGAN MSN, APRN, ACNPC-AG
Nurse Practitioner (Adult Health)
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 865-5105

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 Neeharika Muddana's NPI number?

The NPI number for Neeharika Muddana is 1649448911. It was assigned to this individual provider in the NPPES registry on February 20, 2008. The provider is also known as Neeharika Muddana M.D..

Where is Neeharika Muddana located?

Neeharika Muddana practices at 418 Grand Park Dr Ste 311, Parkersburg, WV 26105. The listed phone number is (304) 865-5105.

What is Neeharika Muddana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Neeharika Muddana enrolled in Medicare?

Yes. Neeharika 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.

What insurance does Neeharika Muddana accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Neeharika 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 Neeharika Muddana affiliated with any hospitals?

According to CMS data, Neeharika Muddana is affiliated with Marietta Memorial Hospital, United Hospital Center, Inc, Camden Clark Medical Center, Wetzel County Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Neeharika Muddana was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.