MAHESH MOONDRA, MD, PA
NPI 1861499634
Internal Medicine in Salisbury, MD
About Mahesh Moondra, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAHESH MOONDRA, MD, PA (NPI 1861499634) is a healthcare organization registered as an internal medicine in Salisbury, Maryland and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 23, 2028 and lists Mahesh Moondra, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 15
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mahesh Moondra, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mahesh Moondra, MD, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D0950366
Mahesh Moondra MD · Salisbury, MDFrequently 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 Mahesh Moondra, MD, PA's NPI number?
The NPI number for Mahesh Moondra, MD, PA is 1861499634. It was assigned to this organization in the NPPES registry on July 7, 2005.
Where is Mahesh Moondra, MD, PA located?
Mahesh Moondra, MD, PA is located at 106 Milford St Suite 504B, Salisbury, MD 21804. The listed phone number is (410) 546-5954.
What is Mahesh Moondra, MD, PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mahesh Moondra, MD, PA enrolled in Medicare?
Yes. Mahesh Moondra, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mahesh Moondra, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Mahesh Moondra, MD, PA. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mahesh Moondra, MD, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D0950366) is associated with this NPI, valid through August 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mahesh Moondra, MD, PA was last updated on March 23, 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.
# Mahesh Moondra, Md, Pa · NPI 1861499634
Internal Medicine organization in Salisbury, Maryland. Organization record, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1861499634 (Entity type: Organization)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Mahesh Moondra, OWNER
## Practice location
- **Address:** 106 MILFORD ST, SUITE 504B, Salisbury, MD 21804-6953
- **Phone:** (410) 546-5954 · **Fax:** (410) 219-3038
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2020
- **Other identifiers:** Other 4393240; Other 510427; Other 545418200; and 12 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861499634) · Data from the CMS NPPES public registry.