DR. PENCHALA SWAMY MITTADODLA MD
NPI 1720219397
Internal Medicine - Pulmonary Disease in Rogers, AR

Active since July 30, 2009PECOS EnrolledAccepts Medicare Assignment
2708 S RIFE MEDICAL LN, STE 200, ROGERS, AR 72758(479) 338-3080(479) 338-3089 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Penchala Swamy Mittadodla Md NPPES

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

DR. PENCHALA SWAMY MITTADODLA MD (NPI 1720219397) is an individual pulmonary disease provider in Rogers, Arkansas, licensed in Arkansas (E-8192) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1720219397
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PENCHALA SWAMY MITTADODLACredential: MD
Location Address2708 S RIFE MEDICAL LN, STE 200Rogers, AR 72758-1452
Mailing Address2708 S Rife Medical Ln, Ste 200Rogers, AR 72758-1452 · (479) 338-3080 · Fax (479) 338-3089
Fax(479) 338-3089
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 30, 2009
Last NPPES UpdateAugust 10, 2015
NPI 1720219397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AR · E-8192
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License E-8192 (AR)
2708 S RIFE MEDICAL LN, Rogers, AR 72758

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

Dr. Penchala Swamy Mittadodla 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 ID9335454123
PECOS Enrollment IDI20150824001262
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 23

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
163 services79 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.
145 services79 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.
138 services80 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.
107 services93 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
96 services94 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
93 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72758 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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
1 supplier11 claims12 services$16.15 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers11 claims11 services$46.30 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers46 claims46 services$899.61 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers16 claims16 services$5.45 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
5 suppliers133 claims134 services$86.29 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
4 suppliers98 claims98 services$32.37 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 18

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

Nurse Practitioner (Adult Health)
2708 S RIFE MEDICAL LN
ROGERS, AR 72758
Nurse Practitioner (Family)
2708 S RIFE MEDICAL LN, SUITE 130
ROGERS, AR 72758
Family Medicine
2708 S RIFE MEDICAL LN
ROGERS, AR 72758
Physician Assistant
2708 S RIFE MEDICAL LN
ROGERS, AR 72758
Nurse Practitioner
2708 S RIFE MEDICAL LN, SUITE 200
ROGERS, AR 72758
Registered Nurse
2708 S RIFE MEDICAL LN
ROGERS, AR 72758
Nurse Practitioner (Family)
2708 S RIFE MEDICAL LN
ROGERS, AR 72758
Pharmacy
2708 S RIFE MEDICAL LN
ROGERS, AR 72758

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 Penchala Mittadodla's NPI number?

The NPI number for Penchala Mittadodla is 1720219397. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Penchala Mittadodla located?

Penchala Mittadodla practices at 2708 S Rife Medical Ln Ste 200, Rogers, AR 72758. The listed phone number is (479) 338-3080.

What is Penchala Mittadodla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Penchala Mittadodla enrolled in Medicare?

Yes. Penchala Mittadodla 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 Penchala Mittadodla accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 6 other insurers list Penchala Mittadodla 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 Penchala Mittadodla was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.