Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TEJASWI VENKATA MUDIGONDA M.D.
NPI 1891143277
Dermatology - MOHS-Micrographic Surgery in Lebanon, TN

Q: What is Tejaswi Mudigonda's NPI number?

The NPI number for Tejaswi Mudigonda is 1891143277. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Tejaswi Mudigonda's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Tejaswi Mudigonda was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since May 26, 2016PECOS Enrolled

75/100

CMS Quality Rating

1424 W BADDOUR PKWY STE G, LEBANON, TN 37087(615) 314-1699(615) 622-8905 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Mar 19, 2026, May 20, 2025 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Tejaswi Venkata Mudigonda M.d. NPPES

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

DR. TEJASWI VENKATA MUDIGONDA M.D. (NPI 1891143277) is an individual mohs-micrographic surgery provider in Lebanon, Tennessee, licensed in Tennessee (68967) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Vanderbilt University School Of Medicine (2016).

NPPES Registry Identity

NPI1891143277

Entity TypeIndividualMale

Primary Taxonomy207ND0101X

Provider Legal NameDR. TEJASWI VENKATA MUDIGONDACredential: M.D.

Location Address1424 W BADDOUR PKWY STE GLebanon, TN 37087-2685

Mailing Address9097 W Post Rd Ste 100Las Vegas, NV 89148-2417 · (928) 854-5400 · Fax (928) 216-4165

Phone(615) 314-1699

Fax(615) 622-8905

Sole ProprietorYes

Medical School CMSVanderbilt University School Of MedicineGraduated 2016

Enumeration DateMay 26, 2016

Last NPPES UpdateOctober 26, 20265 updates tracked since enumeration

NPPES CertifiedOctober 26, 2026

✔ NPI 1891143277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Licenses✔ Licensed in TN · 68967✔ Licensed in AZ · 73704

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X · License 68967 (TN)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 68967 (TN)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 68967 (TN)

1424 W BADDOUR PKWY STE G, Lebanon, TN 37087

Open in Google Maps ↗

Secondary Practice Locations 6

Location 110101 Ramsey Way, Suite ADickson, TN 37055 · Phone (615) 314-1699 · Fax (615) 622-8905

Location 21900 Patterson St Ste 201Nashville, TN 37203-2165 · Phone (615) 314-1699 · Fax (615) 622-8905

Location 3491 Sage Rd N Ste 300White House, TN 37188-9361 · Phone (615) 675-0444

Location 41630 Nashville Pike Ste 200Gallatin, TN 37066-5266 · Phone (615) 675-0444

Location 51801 Mesquite AveLake Havasu City, AZ 86403-5668 · Phone (928) 854-5400 · Fax (928) 216-4165

Location 6147 Uptown SqMurfreesboro, TN 37129-0571 · Phone (615) 314-1699 · Fax (615) 622-8905

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Dr. Tejaswi Venkata Mudigonda 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 ID3072936707

PECOS Enrollment IDI20240625002559

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 Reassignments

Medicare enrollment records show Tejaswi Mudigonda reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integrated Skin Institute PLLC

Same address

Dermatology

1424 W BADDOUR PKWY STE G
Lebanon, TN 37087

Reassigned Medicare billing, Tennessee enrollment

NPI 1770351041 (615) 314-1699

Advanced Diagnostic Imaging, PC

22 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
734 clinicians in this Medicare group

NPI 1093741464 (615) 239-2061

Advanced Specialists, PC

22 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
317 clinicians in this Medicare group

NPI 1649133463 (615) 239-2018

Davishire Dermatology LLC

27 mi

Dermatology

1900 PATTERSON ST STE 205
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1811648066 (615) 329-0341

Csi Medical Group

1,814 mi

MOHS-Micrographic Surgery

1360 W 6TH ST STE 370
San Pedro, CA 90732

Reassigned Medicare billing, California enrollment
179 clinicians in this Medicare group

NPI 1871909804 (310) 519-8890

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 9

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

67 services65 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

30 services24 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.

27 services26 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

23 services23 patients

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.

17 services17 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES

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

INTEGRATED SKIN INSTITUTE PLLC

Dermatology

1424 W BADDOUR PKWY STE G
LEBANON, TN 37087

Wilson County (615) 314-1699

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 Tejaswi Mudigonda's NPI number?

The NPI number for Tejaswi Mudigonda is 1891143277. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Tejaswi Mudigonda located?

Tejaswi Mudigonda practices at 1424 W Baddour Pkwy Ste G, Lebanon, TN 37087. The listed phone number is (615) 314-1699.

What is Tejaswi Mudigonda's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Tejaswi Mudigonda enrolled in Medicare?

Yes. Tejaswi Mudigonda 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 organizations bill Medicare for Tejaswi Mudigonda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tejaswi Mudigonda reassigns Medicare benefits to 5 organizations: Integrated Skin Institute PLLC (Lebanon, TN), Advanced Diagnostic Imaging, PC (Goodlettsville, TN), Advanced Specialists, PC (Goodlettsville, TN), Davishire Dermatology LLC (Nashville, TN) and Csi Medical Group (San Pedro, CA). Each 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 Tejaswi Mudigonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tejaswi Mudigonda accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Tejaswi Mudigonda 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 Tejaswi Mudigonda was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.