DR. RADHIKA MUDIYALA (M.D.) – Geriatric Medicine (Internal Medicine) Physician, NPI 1336195254

DR. RADHIKA MUDIYALA (M.D.) is a healthcare provider. based in Smyrna, Georgia. specializing in GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 051069 (GA). The NPI Number for DR. RADHIKA MUDIYALA (M.D.) is 1336195254

Main info

Female
Sole Proprietor
33 Years Of Experience
Name
DR. RADHIKA MUDIYALA (M.D.)
NPI
1336195254
Phone
(678) 303-5082
Address
3606 HIGHLANDS PKWY SE
Enumeration Date
25 May 2006
Last Update Date
12 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783035082
Graduation Year
1993 (33 years ago)
PAC ID
4880685916
Professional Enrollment ID
I20040519000313
Address ID
GA300825184SM3606XSEPK301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

113 GERIATRIC MEDICINE in GA

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Provider Addresses for DR. RADHIKA MUDIYALA (M.D.)

  • 3606, Highlands Parkway Southeast, Smyrna, Cobb County, Georgia, 30082, United States

    BLDG # 1

    SMYRNA, GA 300825184

    Phone: (678) 303-5082

    Fax: (678) 303-5160

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $813.

Total Amount is formed as General ($813) + Research ($0) + Ownership ($0) = $813.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($265).

Total Amount

$813

General + Research + Ownership

Payments

22

Total payment records

General Amount

$813

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040519000313IGeriatric MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes17979$0
99213Established patient office or other outpatient visit, 20-29 minutes9755$0
99214Established patient office or other outpatient visit, 30-39 minutes9261$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9084$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8686$0
View full utilization report →

Insurance plans in this area (ZIP 30082)

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Reviews

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Frequently asked questions

How is DR. RADHIKA MUDIYALA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. RADHIKA MUDIYALA (M.D.) with NPI 1336195254.
Does the file indicate DR. RADHIKA MUDIYALA (M.D.) is practicing under active NPI?
Directory data currently reports DR. RADHIKA MUDIYALA (M.D.) as active.
What taxonomy line describes DR. RADHIKA MUDIYALA (M.D.)?
For research purposes, treat DR. RADHIKA MUDIYALA (M.D.) as Geriatric Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RADHIKA MUDIYALA (M.D.) on a map?
Expect Smyrna, Georgia as a primary anchor for DR. RADHIKA MUDIYALA (M.D.) unless the record lists multiple sites.
Why does DR. RADHIKA MUDIYALA (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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