ANIL KUMAR MUDDADA (M.D) – Nephrology Physician, NPI 1386877751

ANIL KUMAR MUDDADA (M.D) is a healthcare provider. based in Cincinnati, Ohio. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 2011017861 (MO). The NPI Number for ANIL KUMAR MUDDADA (M.D) is 1386877751

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
ANIL KUMAR MUDDADA (M.D)
NPI
1386877751
Phone
(513) 981-5123
Address
PO BOX 636930
Enumeration Date
1 September 2009
Last Update Date
27 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4194558500
Graduation Year
2003 (23 years ago)
PAC ID
8022288570
Group Practice PAC ID
1951707884
Professional Enrollment ID
I20140523000506
Address ID
OH448838314TI27XXXDRXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

547 NEPHROLOGY in OH

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Provider Addresses for ANIL KUMAR MUDDADA (M.D)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636930

    Phone: (513) 981-5123

    Fax: (513) 981-5015

    Type: Mailing

  • 750, West High Street, Lima, Allen County, Ohio, 45801, United States

    SUITE 150

    LIMA, OH 458012969

    Phone: (419) 227-1359

    Fax: (419) 227-7586

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,429.

Total Amount is formed as General ($1,429) + Research ($0) + Ownership ($0) = $1,429.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($286).

Total Amount

$1,429

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,429

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2014-05-23

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
I20140523000506INephrologyOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,406305$0
99213Established patient office or other outpatient visit, 20-29 minutes492394$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes204166$0
99214Established patient office or other outpatient visit, 30-39 minutes183143$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)17734$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 1951707884View full group profile
NameSpecialtyState
U R O L O G YOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Cardiovascular Disease (Cardiology)NY
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Orthopedic SurgeryOH
Nurse PractitionerOH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

What is the standard ID for ANIL KUMAR MUDDADA (M.D) in the U.S.?
In the U.S., ANIL KUMAR MUDDADA (M.D) is identified by NPI 1386877751.
Does the public listing show ANIL KUMAR MUDDADA (M.D) as active?
ANIL KUMAR MUDDADA (M.D)'s NPI record reflects an active status in NPPES.
Which specialty label fits ANIL KUMAR MUDDADA (M.D)?
NPPES ties ANIL KUMAR MUDDADA (M.D) to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANIL KUMAR MUDDADA (M.D)?
ANIL KUMAR MUDDADA (M.D) shows a connection to Cincinnati, Ohio in registry-derived data.
Can I export ANIL KUMAR MUDDADA (M.D)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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