Individual provider Active NPI

Muralidhar Reddy Guddeti, M.D

  • Surgery Physician
  • Indiana, PA
National Provider Identifier
1558525345
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD445282 Issued in PA
Practice address
841 Hospital Rd Ste 2300
Indiana, PA 15701-3699
Phone
(724) 349-7820
Fax
(724) 349-8816
NPI assigned
Jul 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD445282 PA Primary

Addresses

Primary practice location

841 Hospital Rd Ste 2300
Indiana, PA 15701-3699

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7196

Other practice location 1

291 Oak Street
Indiana, PA 15701-2039
Phone (703) 939-5477

Other identifiers 1

IdentifierTypeStateIssuer
MD445282OtherPALICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meralidhar.guddeti@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120720000188 PA Practitioner - General Surgery 7416129200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1265 Wayne Ave
Indiana, PA 15701-3501

841 Hospital Rd
Indiana, PA 15701-3699

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD445282PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services, Inc Surgery CurrentSince Jul 1, 2012 Accepting new patients
Indiana Healthcare Physician Services Inc Surgery CurrentSince Jul 1, 2012 Accepting new patients

Locations

120 Irmc Dr
Ste 110
Indiana, PA 15701
Phone (724) 357-8135

1265 Wayne Ave
Ste 307
Indiana, PA 15701
Phone (724) 349-3290

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

841 Hospital Rd
Ste 1200
Indiana, PA 15701
Phone (724) 465-1922

1265 Wayne Ave
Ste 201
Indiana, PA 15701
Phone (724) 349-3290

841 Hospital Rd
Ste 2300
Indiana, PA 15701
Phone (724) 349-7820

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1558525345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7196",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 2300",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013699",
            "telephone_number": "724-349-7820",
            "fax_number": "724-349-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 OAK STREET",
            "address_purpose": "LOCATION",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157012039",
            "country_code": "US",
            "telephone_number": "703-939-5477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUDDETI",
        "first_name": "MURALIDHAR",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD445282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "MD445282",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meralidhar.guddeti@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Direct Messaging",
            "address_1": "841 Hospital Rd Ste 2300",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.