Saran V Mudumbi, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD0000031110 Issued in TN

Practice address

2900 Felicia St Ste 103
Nashville, TN 37209-4043

Phone

(615) 320-1395

Fax

(615) 320-1396

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: saran.mudumbi@hca1.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centerstone of Tennessee, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, TN
  • NPI 1396767430
  Medicare reassignment Care Compare group
• Centennial Psychiatric Associates, LLC

  • Psychiatry Physician
  • Nashville, TN
  • NPI 1467687822
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194895193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FELICIA ST STE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094043",
            "telephone_number": "615-320-1395",
            "fax_number": "615-320-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FELICIA ST STE 103",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094043",
            "telephone_number": "615-320-1395",
            "fax_number": "615-320-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 23rd Ave N Ste 140",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031536",
            "country_code": "US",
            "telephone_number": "615-320-8887",
            "fax_number": "615-342-6844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUDUMBI",
        "first_name": "SARAN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000031110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3846039",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Muchmore
• Loretta A Muchukot, MA
• Jennifer Cies Muckala, M.A.
• Rosalena Muckle, M.D.
• Sandhya Mudumbi, MD
• Molly Muecke, FNP
• Alyssa Mueller, MD
• Angela Gail Mueller
• Briana Lee Mueller, M.S., OTR/L
• Dorothee Alexandra Mueller, MD

• Psychiatry Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.