DR. MUNDIR GRIDDA (DNP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1013665314

DR. MUNDIR GRIDDA (DNP, CRNA) is a healthcare provider. based in Cypress, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP, CRNA. They hold a License No. 1072728 (TX). The NPI Number for DR. MUNDIR GRIDDA (DNP, CRNA) is 1013665314

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUNDIR GRIDDA (DNP, CRNA)
NPI
1013665314
Phone
(708) 828-5902
Address
15410 WILD TIMBER TRL
Enumeration Date
15 March 2022
Last Update Date
15 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814776192
Graduation Year
2022 (4 years ago)
PAC ID
2860545514
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20220421002066
Address ID
TX770704349HO18220249X402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for DR. MUNDIR GRIDDA (DNP, CRNA)

  • 15410 WILD TIMBER TRL

    CYPRESS, TX 774331560

    Phone: (708) 828-5902

    Type: Mailing

  • 710 CYPRESS CREEK PKWY

    HOUSTON, TX 770903402

    Phone: (281) 440-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($69).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$69
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: 2022-04-21

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
I20220421002066ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3030$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00813Anesthesia for procedure on small and large bowel using an endoscope2121$0
00670Anesthesia for extensive surgery on spine1212$0
View full utilization report →

Insurance plans in this area (ZIP 77433)

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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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

How is DR. MUNDIR GRIDDA (DNP, CRNA) identified in CMS data?
CMS-hosted NPPES data lists DR. MUNDIR GRIDDA (DNP, CRNA) with NPI 1013665314.
Is DR. MUNDIR GRIDDA (DNP, CRNA) listed as active for patients and plans?
The listing shows DR. MUNDIR GRIDDA (DNP, CRNA) as active in the NPI system.
What taxonomy line describes DR. MUNDIR GRIDDA (DNP, CRNA)?
For research purposes, treat DR. MUNDIR GRIDDA (DNP, CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. MUNDIR GRIDDA (DNP, CRNA) based?
DR. MUNDIR GRIDDA (DNP, CRNA) is tied to Cypress, Texas in the data we show; additional addresses may exist on the full record.
Is the information about DR. MUNDIR GRIDDA (DNP, CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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