Active NPI
Neeharika Muddana, M.D.
- Nephrology Physician
- Parkersburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25695
- Practice address
- 418 Grand Park Dr Ste 311
Parkersburg, WV 26105-4000 - Phone
- (304) 865-5105
- Fax
- (304) 865-5570
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301090208 | MI | |
| Nephrology Physician | 207RN0300X | 25695 | WV | Primary |
Addresses
Primary practice location
418 Grand Park Dr Ste 311
Parkersburg, WV 26105-4000
Mailing address
418 Grand Park Dr
Parkersburg, WV 26105-4000
Phone (304) 865-5105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810027204 | Medicaid | WV | |
| 9310001 | Other | WV | GROUP PTAN |
Other names 1
- Neeharika Muddana
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nmuddana115470@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | nmuddana115470@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1019 Pike St
Marietta, OH 45750-3500
Phone (800) 424-6589
800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111
Hospital & facility affiliations
- DaVita Grand Central Dialysis
- DaVita Marietta Dialysis
- DaVita Wood County Dialysis
- Camden Clark Medical Center
- Jackson General Hospital
- Marietta Memorial Hospital
- Wetzel County Hospital
- United Hospital Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301090208 | MI | MD | Internal Medicine Physician |
| 25695 | WV | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients |
Locations
608 Washington Blvd
Belpre, OH 45714
Phone (304) 422-3904
1019 Pike St
Marietta, OH 45750
Phone (740) 376-2622
418 Grand Park Dr
Ste 321
Parkersburg, WV 26105
Phone (304) 865-5185
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
418 Grand Park Dr
Ste 311
Parkersburg, WV 26105
Phone (304) 485-7700
214 Gihon Vlg
Parkersburg, WV 26101
Phone (304) 422-3687
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
800 Grand Central Mall
Ste 8
Vienna, WV 26105
Phone (304) 917-4124
Interoperability endpoints
- nmuddana@yourcarecommunity.org
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.
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Vienna, WV
- NPI 1457316085
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parkersburg, WV
- NPI 1083161400
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marietta, OH
- NPI 1427012798
Dialysis facility
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
-
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- General Acute Care Hospital
- Bridgeport, WV
- NPI 1184606600
-
- Rural Acute Care Hospital
- New Martinsville, WV
- NPI 1376175240
-
- General Acute Care Hospital
- Marietta, OH
- NPI 1215936927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1649448911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 GRAND PARK DR",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261054000",
"telephone_number": "304-865-5105",
"fax_number": "304-865-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 GRAND PARK DR STE 311",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261054000",
"telephone_number": "304-865-5105",
"fax_number": "304-865-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDDANA",
"first_name": "NEEHARIKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301090208",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WV",
"license": "25695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810027204",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "9310001",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmuddana115470@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmuddana115470@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "800 Garfield Ave",
"city": "Parkersburg",
"state": "WV",
"country_code": "US",
"postal_code": "261015376",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NEEHARIKA",
"last_name": "MUDDANA",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.