Swetha Mudunuri, M.D.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

137255 Issued in CA

Practice address

3581 Palmer Dr
Suit 602
Cameron Park, CA 95682-8236

Phone

(530) 627-7000

NPI assigned

Jun 20, 2012

Last updated

Jul 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Internal Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall Medical CenterGroup PAC ID 7517875859, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Home Care Home health agency, Diamond Springs, CA, CCN 057019
• Bellestar Home Health Care, Inc Home health agency, Folsom, CA, CCN 559061
• Snowline Health Hospice, Diamond Springs, CA, CCN 051567
• Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Marshall Medical Center

  • Family Medicine Physician
  • El Dorado Hills, CA
  • NPI 1114727377

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Marshall Medical Center

  • Family Medicine Physician
  • Cameron Park, CA
  • NPI 1871697904

  Internal Medicine

  NPD
• Marshall Medical Center

  • Interventional Cardiology Physician
  • Placerville, CA
  • NPI 1215181664
  NPD (past)

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

• Bellestar Home Health Care, Inc

  dba Bellestar Home Health Care

  • Home Health Agency
  • Folsom, CA
  • NPI 1831616283
  Care Compare affiliation
• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation
• Marshall Medical Center

  dba Marshall Home Care

  • Home Health Agency
  • Diamond Springs, CA
  • NPI 1992705040
  Care Compare affiliation
• Snowline Hospice of El Dorado County

  dba Snowline Health

  • Community Based Hospice Care Agency
  • Diamond Springs, CA
  • NPI 1366449951
  Care Compare affiliation

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1700149150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45680",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450680",
            "telephone_number": "530-626-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 PALMER DR",
            "address_2": "SUIT 602",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828236",
            "telephone_number": "530-627-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDUNURI",
        "first_name": "SWETHA",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "137255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MGM Services Pro LLC (Homewatch CareGivers of Placerville - El Dorado Hills)
• Michael C. Yang, MD
• Majd Michael, M.D.
• Jennifer Misirli, LMFT
• Margarita Miyasato
• Erin Mullins, PHARMD
• MV Perera Licensed Clinical Social Worker, Inc.
• Marisa Larae Neeley, PA-C
• Jason Lynn Nelles, M.D.
• Devin Nelson, LMFT

• Internal Medicine Physician in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.