DR. BHARGAV MUDDA (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1346501699

DR. BHARGAV MUDDA (M.D.) is a healthcare provider. based in Bolingbrook, Illinois. specializing in INTERVENTIONAL PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 036143270 (IL). The NPI Number for DR. BHARGAV MUDDA (M.D.) is 1346501699

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. BHARGAV MUDDA (M.D.)
NPI
1346501699
Phone
(630) 312-4505
Address
420 S. SCHMIDT ROAD
Enumeration Date
4 June 2012
Last Update Date
1 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6614802377207
Graduation Year
2012 (14 years ago)
PAC ID
3274827308
Group Practice PAC ID
4880909308
Professional Enrollment ID
I20211011003234
Address ID
CA935511432PA1120XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:14State licenses:1Digital endpointsOther names

309 INTERVENTIONAL PAIN MANAGEMENT in IL

Provider Addresses for DR. BHARGAV MUDDA (M.D.)

  • 420 S. SCHMIDT ROAD

    STE. 240

    BOLINGBROOK, IL 604402634

    Phone: (630) 312-4505

    Fax: (630) 312-6651

    Type: Mailing

  • 1120 W AVENUE M4

    PALMDALE, CA 935511432

    Phone: (661) 480-2377

    Fax: (661) 480-2378

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $2,146.

Total Amount is formed as General ($2,146) + Research ($0) + Ownership ($0) = $2,146.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Boston Scientific Corporation ($840).

Total Amount

$2,146

General + Research + Ownership

Payments

51

Total payment records

General Amount

$2,146

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-10-11

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
I20211011003234IInterventional Pain ManagementCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes19779$0
99214Established patient office or other outpatient visit, 30-39 minutes15378$0
99442Telephone medical discussion with physician, 11-20 minutes11570$0
99204New patient office or other outpatient visit, 45-59 minutes7777$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level6845$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880909308View full group profile
NameSpecialtyState
Nurse PractitionerNY
Nurse PractitionerCA
Nurse PractitionerMI
Nurse PractitionerCA
Undefined Physician Type (Specify), Physical Medicine And RehabilitationCA
N E U R O L O G YCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
N E U R O S U R G E R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What identifier follows DR. BHARGAV MUDDA (M.D.) across health systems?
The NPI 1346501699 uniquely identifies DR. BHARGAV MUDDA (M.D.) in U.S. healthcare data.
Does the public listing show DR. BHARGAV MUDDA (M.D.) as active?
DR. BHARGAV MUDDA (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. BHARGAV MUDDA (M.D.)?
NPPES ties DR. BHARGAV MUDDA (M.D.) to Pain Medicine (Anesthesiology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BHARGAV MUDDA (M.D.)?
DR. BHARGAV MUDDA (M.D.) shows a connection to Bolingbrook, Illinois in registry-derived data.
Who maintains DR. BHARGAV MUDDA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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