SANJAY MUDIGONDA M.D.
NPI 1942277983
Radiology - Diagnostic Radiology in Newton, MA
About Sanjay Mudigonda M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJAY MUDIGONDA M.D. (NPI 1942277983) is an individual diagnostic radiology provider in Newton, Massachusetts, licensed in Massachusetts (221962) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Sanjay 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sanjay Mudigonda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brighton, MA 02135
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1821349317 (Massachusetts)
- 130 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02462 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWTON, MA 02462
NEWTON, MA 02462
NEWTON, MA 02462
NEWTON, MA 02462
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 Sanjay Mudigonda's NPI number?
The NPI number for Sanjay Mudigonda is 1942277983. It was assigned to this individual provider in the NPPES registry on March 8, 2006.
Where is Sanjay Mudigonda located?
Sanjay Mudigonda practices at 2014 Washington Street, Newton, MA 02462. The listed phone number is (617) 243-6162.
What is Sanjay Mudigonda's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Sanjay Mudigonda enrolled in Medicare?
Yes. Sanjay 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 Sanjay Mudigonda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Mudigonda reassigns Medicare benefits to 2 organizations: Steward Medical Group, Inc (Brighton, MA) and Permanente Medical Group Inc (Stockton, 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 Sanjay Mudigonda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjay Mudigonda accept?
Health plans from Taro Health list Sanjay 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 Sanjay Mudigonda was last updated on September 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sanjay Mudigonda, M.D. · NPI 1942277983
Diagnostic Radiology physician in Newton, Massachusetts. Individual provider, active in the CMS NPPES registry since March 8, 2006.
## Identity
- **NPI:** 1942277983 (Entity type: Individual)
- **Enumerated:** March 8, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 221962 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 2014 WASHINGTON STREET, Newton, MA 02462
- **Phone:** (617) 243-6162 · **Fax:** (207) 347-7401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Steward Medical Group, Inc (NPI 1356654495, Brighton, MA); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pittsburgh School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** September 27, 2011
- **Other identifiers:** Medicare UPIN I08976; Medicare ID-Type Unspecified A36931 (MA); Medicaid 2066262 (MA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1942277983) · Data from the CMS NPPES public registry.