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DR. TEJASWI VENKATA MUDIGONDA M.D.
NPI 1891143277
Dermatology - MOHS-Micrographic Surgery in Lake Havasu City, AZ

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1801 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(928) 854-5400(928) 216-4165 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, May 20, 2025, Jun 16, 2020 and 1 more (4 updates tracked since 2018).

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 Lake Havasu City, Arizona, licensed in Arizona (73704) 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 Address1801 MESQUITE AVELake Havasu City, AZ 86403-5668
Mailing Address9097 W Post Rd Ste 100Las Vegas, NV 89148-2417 · (928) 854-5400 · Fax (928) 216-4165
Phone(928) 854-5400
Fax(928) 216-4165
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2016
Enumeration DateMay 26, 2016
Last NPPES UpdateMarch 19, 20264 updates tracked since enumeration
NPPES CertifiedMarch 19, 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 AZ · 73704✔ Licensed in TN · 68967
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)
1801 MESQUITE AVE, Lake Havasu City, AZ 86403
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 2147 Uptown SqMurfreesboro, TN 37129-0571 · Phone (615) 314-1699 · Fax (615) 622-8905
Location 31900 Patterson St Ste 201Nashville, TN 37203-2165 · Phone (615) 314-1699 · Fax (615) 622-8905
Location 41630 Nashville Pike Ste 200Gallatin, TN 37066-5266 · Phone (615) 675-0444
Location 51424 W Baddour Pkwy Ste GLebanon, TN 37087-2685 · Phone (615) 314-1699 · Fax (615) 622-8905
Location 6491 Sage Rd N Ste 300White House, TN 37188-9361 · Phone (615) 675-0444

Other Identifiers 1

Medicaid207R00000XOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, BlueCross BlueShield of Tennessee 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. 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.

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 86403 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 4

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

FREDERIC LUO, MD, MSEE, INC
Internal Medicine
1801 MESQUITE AVE, SUITE 102
LAKE HAVASU CITY, AZ 86403
Mohave County (480) 888-1900
SIPONG PATAMASUCON
Physician Assistant
1801 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5400
SMITH TRYON FAMILY HEALTH INC D.B.A. BLUE WATER MEDICAL
Family Medicine
1801 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-6963
ALICE DREYFUS APRN, FNP-BC
Nurse Practitioner (Family)
1801 MESQUITE AVE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5400

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 1801 Mesquite Ave, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-5400.

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.

What insurance does Tejaswi Mudigonda accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, BlueCross BlueShield of Tennessee, BridgeSpan Health Company and Moda Health Plan, Inc. and 4 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 March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.