Giri D Mundluru, M.D.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

H4026 Issued in TX

Practice address

844 Pennsylvania Ave
Ste 110
Fort Worth, TX 76104-2223

Phone

(817) 336-4278

Fax

(817) 335-1650

NPI assigned

Jun 30, 2005

Last updated

Apr 14, 2020By 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 1

Addresses

Other identifiers 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

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
• Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071
• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EEDIAA/Endpoint/EEDIAA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Amh Cath Labs LLC

  dba Texas Health Heart & Vascular Hospital Arlington

  • Special Hospital
  • Arlington, TX
  • NPI 1407169196

  Other

  CMS ownership

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.

• Tarrant County Cardiology PA

  • Specialist
  • Fort Worth, TX
  • NPI 1548307895
  Medicare reassignment Authorized official
• Legacy Heart Care of Fort Worth, LLC

  dba Flow Therapy Fort Worth

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1730120908
  Medicare reassignment NPD
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1770830606
  NPD
• Legacy Heart Care of Grand Prairie, LLC

  dba Flow Therapy Grand Prairie

  • Cardiovascular Disease Physician
  • Grand Prairie, TX
  • NPI 1174252837
  NPD (past)

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

• Amh Cath Labs LLC

  dba Texas Health Heart & Vascular Hospital Arlington

  • Special Hospital
  • Arlington, TX
  • NPI 1407169196
  Care Compare affiliation
• Baylor All Saints Medical Center

  dba Baylor Scott & White All Saints Medical Center - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1669472387
  Care Compare affiliation
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  dba Medical City Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  dba Baylor Scott & White Heart and Vascular Hospital - Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1912904491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 PENNSYLVANIA AVE",
            "address_2": "SUITE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042223",
            "telephone_number": "817-336-4278",
            "fax_number": "817-335-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 PENNSYLVANIA AVE",
            "address_2": "STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042223",
            "telephone_number": "817-336-4278",
            "fax_number": "817-335-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-336-4278",
            "fax_number": "817-335-1650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDLURU",
        "first_name": "GIRI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "H4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146634401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alhaji Mahama Mumuni, PAC
• Munazza S. Sethi M.D, P.a
• Jennifer M Muncie, R.D.,L.D.
• Arthur Jackson Mund III, D.D.S.
• Justin Dain Mund, DDS
• Melissa Mundo, MS, OTR/L
• Nickolas Mundo
• Lauren Mundt
• Tracy Rukab Munford, MD
• Guadalupe Munguia

• Interventional Cardiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.