Active NPI
Ashok Kumar Mudundi, M.D.
- Hospitalist Physician
- Salisbury, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 6044
- Practice address
- 611 Mocksville Ave
Salisbury, NC 28144-2705 - Phone
- (704) 633-7220
- Fax
- (605) 322-4910
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MO 2005018599 | MO | |
| Internal Medicine Physician | 207R00000X | R8434 | TX | |
| Internal Medicine Physician | 207R00000X | 2014-00238 | NC | |
| Hospitalist Physician | 208M00000X | R8434 | TX | |
| Hospitalist Physician | 208M00000X | 6044 | SD | Primary |
Addresses
Primary practice location
611 Mocksville Ave
Salisbury, NC 28144-2705
Mailing address
611 Mocksville Ave
Salisbury, NC 28144-2705
Phone (704) 633-7220
Other practice location 1
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S102597 | Other | SD | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, SC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000
305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100
8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242
Hospital & facility affiliations
- St David'S Medical Center
- Hill Country Memorial Hospital
- Baylor Scott & White Medical Center - Marble Falls
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MO 2005018599 | MO | MD | Legal Medicine |
| 6044 | SD | MD | Pharmacist |
| 2014-00238 | NC | MD | Internal Medicine Physician |
| R8434 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health Services | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| Lonestar Pat Associates PA | Internal Medicine | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Avera St. Luke'S | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Ipc Healthcare Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Avera St. Lukes | Current | Accepting new patients | |
| Avera St. Luke'S | Internal Medicine | Current | Accepting new patients |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Bethany Medical Rural Health Clinic | Past | Accepting new patients | |
| St. Davids Healthcare Partnership, L.P., LLP | Past | Accepting new patients |
Locations
302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940
222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- amudundi200034@direct.novanthealth.org
- amudundi306762@christushealth.direct-ci.net
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Aberdeen, SD
- NPI 1215100813
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1023403011
Internal Medicine
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Emergency Care Clinic/Center
- Yankton, SD
- NPI 1861611683
-
- Plastic and Reconstructive Surgery Physician
- Aberdeen, SD
- NPI 1851547798
-
- Nephrology Physician
- Aberdeen, SD
- NPI 1477594430
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Wound Care Registered Nurse
- Yankton, SD
- NPI 1194228817
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
-
- General Acute Care Hospital
- Austin, TX
- NPI 1720033947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1740287663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442705",
"telephone_number": "704-633-7220",
"fax_number": "605-322-4910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MOCKSVILLE AVE",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442705",
"telephone_number": "704-633-7220",
"fax_number": "605-322-4910"
}
],
"practiceLocations": [
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-606-7264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUDUNDI",
"first_name": "ASHOK",
"middle_name": "KUMAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "MO",
"license": "MO 2005018599",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R8434",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2014-00238",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "R8434",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SD",
"license": "6044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "S102597",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.