VENKATA MUDDANA M.D.
NPI 1912055237
Internal Medicine - Gastroenterology in Cincinnati, OH

Q: What is Venkata Muddana's NPI number?

The NPI number for Venkata Muddana is 1912055237. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is Venkata Muddana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Venkata Muddana was last updated on June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment

3219 CLIFTON AVE, CINCINNATI, OH 45220(513) 853-9250 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2021, May 25, 2021, Oct 25, 2020 (3 updates tracked since 2020).

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About Venkata Muddana M.d. NPPES

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

VENKATA MUDDANA M.D. (NPI 1912055237) is an individual gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35.099991) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912055237

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameVENKATA MUDDANACredential: M.D.

Location Address3219 CLIFTON AVECincinnati, OH 45220-3027

Mailing Address2801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · (414) 908-6601

Phone(513) 853-9250

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJune 13, 20223 updates tracked since enumeration

NPPES CertifiedJune 13, 2022

✔ NPI 1912055237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in OH · 35.099991✔ Licensed in WI · 64125-20

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3219 CLIFTON AVE, Cincinnati, OH 45220

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Secondary Practice Locations 2

Location 12801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · Phone (414) 908-6601

Location 210600 Montgomery RdMontgomery, OH 45242-4463 · Phone (513) 853-9250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Venkata Muddana 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 ID7810147725

PECOS Enrollment IDI20121030000112

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 17

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 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.

59 services51 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

53 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

52 services48 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

46 services42 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

44 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

35 services33 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

34 services24 patients

Exam of common bile and/or pancreatic duct using a flexible endoscope 43273

This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.

33 services28 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

32 services29 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

25 services25 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

24 services24 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

19 services13 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.

19 services16 patients

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43247

This procedure involves using a flexible instrument, called an endoscope, to remove foreign objects lodged in the esophagus, stomach, or upper small bowel. The endoscope is gently inserted through the mouth to reach the affected area and safely extract the foreign body.

14 services12 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

12 services12 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

HELEN K KOSELKA M.D.

Internal Medicine

3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220

Hamilton County (513) 528-5600

HELMUT F SCHELLHAS MD

Obstetrics & Gynecology (Gynecologic Oncology)

3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220

Hamilton County (513) 862-1888

FOR WOMEN INC

Obstetrics & Gynecology

3219 CLIFTON AVE, SUITE 125
CINCINNATI, OH 45220

Hamilton County (513) 563-2030

JACK B BASIL MD

Obstetrics & Gynecology (Gynecologic Oncology)

3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220

Hamilton County (513) 862-1888

DR. KENNETH J NEWMARK M.D.

Internal Medicine (Nephrology)

3219 CLIFTON AVE, #325
CINCINNATI, OH 45220

Hamilton County (513) 861-0800

DR. ROBERT K HUTCHINS MD

Ophthalmology

3219 CLIFTON AVE, SUITE 210
CINCINNATI, OH 45220

Hamilton County (513) 861-7575

DR. AMIR IZHAR M.D.

Internal Medicine (Nephrology)

3219 CLIFTON AVE, #325
CINCINNATI, OH 45220

Hamilton County (513) 861-0800

SAMARITAN OB GYN INC

Obstetrics & Gynecology

3219 CLIFTON AVE, SUITE 230
CINCINNATI, OH 45220

Hamilton County (513) 559-9411

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 Venkata Muddana's NPI number?

The NPI number for Venkata Muddana is 1912055237. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Venkata Muddana located?

Venkata Muddana practices at 3219 Clifton Ave, Cincinnati, OH 45220. The listed phone number is (513) 853-9250.

What is Venkata Muddana's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Venkata Muddana enrolled in Medicare?

Yes. Venkata Muddana 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 Venkata Muddana accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Venkata Muddana 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.

Is Venkata Muddana affiliated with any hospitals?

According to CMS data, Venkata Muddana is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Venkata Muddana was last updated on June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.