Active NPI
Sandhya Mudumbi, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- 59900
- Practice address
- 2004 Hayes St Ste 350
Nashville, TN 37203-2650 - Phone
- (615) 312-3333
- Fax
- (615) 320-7091
- NPI assigned
- Apr 9, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 59900 | TN | Primary |
Addresses
Primary practice location
2004 Hayes St Ste 350
Nashville, TN 37203-2650
Mailing address
PO Box 440100
Nashville, TN 37244-0100
Phone (615) 329-0570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN
- 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
- Hospice/Palliative Care
- Education
- State University of New York at Stony Brook, School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333
980 Professional Park Dr
Clarksville, TN 37040-5251
Phone (931) 221-9967
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.71 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59900 | TN | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
315 N Washington Ave
Ste 230
Cookeville, TN 38501
Phone (931) 400-0995
103 Natchez Park Dr
Ste 103
Dickson, TN 37055
Phone (615) 451-5481
1589 Sparta St
Ste 203
McMinnville, TN 37110
Phone (931) 668-4585
2004 Hayes St
Ste 800
Nashville, TN 37203
Phone (615) 514-3023
2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333
120 Frank Martin Rd
Ste 102
Shelbyville, TN 37160
Phone (931) 680-0602
518 W Main St
Smithville, TN 37166
Phone (615) 597-6775
1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1023066149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1902249089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440100",
"telephone_number": "615-329-0570",
"fax_number": "615-329-0579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 HAYES ST STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032650",
"telephone_number": "615-312-3333",
"fax_number": "615-320-7091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUDUMBI",
"first_name": "SANDHYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "TN",
"license": "59900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.