DR. NARSIMHA R MUDDASANI (M.D.) – Psychiatry Physician, NPI 1548366263
Psychiatry Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,367 PSYCHIATRY in IL
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Provider Addresses for DR. NARSIMHA R MUDDASANI (M.D.)
2120, Madison Avenue, Granite City, Madison County, Illinois, 62040, United States
SUITE 406
GRANITE CITY, IL 620404744
Phone: (618) 877-1008
Fax: (618) 877-1512
Type: Mailing
100, 8th Street, Bay Saint Louis, Hancock County, Mississippi, 39520, United States
EAST SAINT LOUIS, IL 622012989
Phone: (618) 271-0130
Fax: (618) 271-6325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $234.
Total Amount is formed as General ($234) + Research ($0) + Ownership ($0) = $234.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($43).
Total Amount
$234
General + Research + Ownership
Payments
12
Total payment records
General Amount
$234
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050928000176 | I | Psychiatry | IL | TBD |
| I20110208000626 | I | Psychiatry | MO | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| Family Practice | ID | |
| Mental Health Counselor | IL | |
| - | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice, Emergency Medicine | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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