Individual provider Active NPI

Neeharika Muddana, M.D.

  • Nephrology Physician
  • Parkersburg, WV
National Provider Identifier
1649448911
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25695 Issued in WV
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

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3810027204MedicaidWV
9310001OtherWVGROUP PTAN

Other names 1

  • Neeharika Muddana Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140404000129 WV Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 1355573403 Reassigns benefits to 1 organization
I20241202001725 OH Practitioner - Internal MedicinePractitioner - Nephrology 1355573403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

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 Dialysis facility, Vienna, WV, CCN 512519
  • DaVita Marietta Dialysis Dialysis facility, Marietta, OH, CCN 362563
  • DaVita Wood County Dialysis Dialysis facility, Parkersburg, WV, CCN 512547
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
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

LicenseStateTypeSpecialty
4301090208MIMDInternal Medicine Physician
25695WVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Dec 4, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.