NPIMap

Individual provider Active NPI

Beejadi N Mukunda, M.D.

  • Internal Medicine Physician
  • Mayfield Village, OH
National Provider Identifier
1225087208
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073940 Issued in OH
Practice address
6559 Wilson Mills Rd Ste 106a
Mayfield Village, OH 44143-3433
Phone
(855) 449-1540
Fax
(440) 672-5068
NPI assigned
May 8, 2006
Last updated
May 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073940 OH Primary

Addresses

Primary practice location

6559 Wilson Mills Rd Ste 106a
Mayfield Village, OH 44143-3433

Mailing address

PO Box 952041
Cleveland, OH 44193-0051
Phone (855) 449-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000091 OH Practitioner - Internal Medicine 3375447782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mukunda Medical Group LLCGroup PAC ID 1153787007, 3 clinicians

Practice addresses (Care Compare)

6559 Wilson Mills Rd
Suite 106
Mayfield Village, OH 44143-3433
Phone (855) 449-1540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Mukunda Medical Group LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Atrium Medical Group, Inc CurrentSince May 1, 2004 Accepting new patients
Meridia Medical Group, LLC Internal Medicine Past Accepting new patients
3G Operating Company LLC Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients

Locations

13944 Euclid Ave
Ste 104
East Cleveland, OH 44112
Phone (216) 761-5911

6559 Wilson Mills Rd
Ste 106A
Mayfield Village, OH 44143
Phone (216) 264-6603

6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540

Interoperability endpoints

  • Direct secure messaging: bmukunda32284@direct.ccf.org
  • Direct secure messaging: bmukunda37345@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ahc of Landerhaven LLCMayfield Heights, OH, CCN 366458 Skilled nursing facility Adp of the SNF Apr 25, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1225087208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952041",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930051",
            "telephone_number": "855-449-1540",
            "fax_number": "440-672-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD STE 106A",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433433",
            "telephone_number": "855-449-1540",
            "fax_number": "440-672-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKUNDA",
        "first_name": "BEEJADI",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

Verify at the official NPI Registry.