SANDHYA MUDUMBI MD
NPI 1902249089
Internal Medicine - Hospice and Palliative Medicine in Nashville, TN

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
2004 HAYES ST STE 350, NASHVILLE, TN 37203(615) 312-3333(615) 320-7091 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2020, Jul 5, 2017 (2 updates tracked since 2017).

About Sandhya Mudumbi Md NPPES

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

SANDHYA MUDUMBI MD (NPI 1902249089) is an individual hospice and palliative medicine provider in Nashville, Tennessee, licensed in Tennessee (59900) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2013).

NPPES Registry Identity

NPI1902249089
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameSANDHYA MUDUMBICredential: MD
Location Address2004 HAYES ST STE 350Nashville, TN 37203-2650
Mailing AddressPo Box 440100Nashville, TN 37244-0100 · (615) 329-0570 · Fax (615) 329-0579
Fax(615) 320-7091
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateMay 7, 20202 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
✔ NPI 1902249089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in TN · 59900
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
2004 HAYES ST STE 350, Nashville, TN 37203

Accepted 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

Sandhya Mudumbi 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 ID2062655871
PECOS Enrollment IDI20200615002319
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

2

Medicare enrollment records show Sandhya Mudumbi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
2004 HAYES ST STE 350
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 464 clinicians in this Medicare group
Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group

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 3

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
123 services40 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.
36 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$7.52 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 20

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

Internal Medicine (Hematology & Oncology)
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Dietitian, Registered
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Nurse Practitioner
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Physician Assistant
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Internal Medicine (Medical Oncology)
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Internal Medicine (Medical Oncology)
2004 HAYES ST STE 350
NASHVILLE, TN 37203
Internal Medicine (Hematology & Oncology)
2004 HAYES ST STE 350
NASHVILLE, TN 37203

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 Sandhya Mudumbi's NPI number?

The NPI number for Sandhya Mudumbi is 1902249089. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Sandhya Mudumbi located?

Sandhya Mudumbi practices at 2004 Hayes St Ste 350, Nashville, TN 37203. The listed phone number is (615) 312-3333.

What is Sandhya Mudumbi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Sandhya Mudumbi enrolled in Medicare?

Yes. Sandhya Mudumbi 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 Sandhya Mudumbi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandhya Mudumbi reassigns Medicare benefits to 2 organizations: Tennessee Oncology PLLC (Nashville, TN) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 Sandhya Mudumbi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandhya Mudumbi accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Sandhya Mudumbi 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 Sandhya Mudumbi was last updated on May 7, 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.