Kumaran Mudaliar, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

T4227 Issued in TX

Practice address

1441 North Beckley Ave
Pathology Department
Dallas, TX 75203-1201

Phone

(214) 947-8181

Fax

(708) 327-2620

NPI assigned

Apr 8, 2010

Last updated

May 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Pathology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laboratory Physicians AssociationGroup PAC ID 4385538065, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
• Methodist Southlake Medical Center Hospital, Southlake, TX, CCN 670132

Merit-based Incentive Payment System (MIPS)

Final score

91.85 of 100Reported as group

Quality

72.17

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmudaliar2147@direct.luhs.org

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.

• Laboratory Physicians Association

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
  • NPI 1457381352
  Medicare reassignment Care Compare group NPD
• Laboratory Physicians Association

  • Anatomic Pathology & Clinical Pathology Physician
  • Mansfield, TX
  • NPI 1114085867
  NPD
• Laboratory Physicians Association

  • Anatomic Pathology & Clinical Pathology Physician
  • McKinney, TX
  • NPI 1366773152
  NPD

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

• Methodist Hospitals of Dallas

  dba Methodist Richardson Medical Center

  • General Acute Care Hospital
  • Richardson, TX
  • NPI 1033165501
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Southlake Medical Center

  • General Acute Care Hospital
  • Southlake, TX
  • NPI 1568818417
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Mansfield Medical Center

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941
  Care Compare affiliation

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1720304298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NORTH BECKLEY AVE",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-8181",
            "fax_number": "708-327-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 NORTH BECKLEY AVE",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-8181",
            "fax_number": "708-327-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDALIAR",
        "first_name": "KUMARAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-08",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "T4227",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036.132976",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmudaliar2147@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "address_2": "Department of Pathology",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Ellen Mucciacciaro, M.ED., LMFTA
• Kathy Lammedal Mucha, FPMHNP
• Zachary Steven Mucha
• Sara J Mucowski, M.D.
• Mud Lotus & Fire Psychotherapy PLLC
• Christin Marie Mudd, AGACNP-BC
• Bindu Madhavi Mudduluru, MD
• Chaitanya K Mudireddy, PT
• Alyssa Mueller, A.T.C., L.A.T.
• James B Mueller, M.D

• Anatomic Pathology & Clinical Pathology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.