Individual provider Active NPI

Himabindu Muddana, M.D.

  • Pediatrics Physician
  • Worcester, MA
National Provider Identifier
1982912481
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
247181 Issued in MA
Practice address
10 Winthrop St
Dr. Babu Pediatrics, PC
Worcester, MA 01604-4435
Phone
(508) 753-3990
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 925925 NY
Pediatrics Physician 208000000X 247181 MA Primary

Addresses

Primary practice location

10 Winthrop St
Dr. Babu Pediatrics, PC
Worcester, MA 01604-4435

Mailing address

25 Old Orchard Cir
Boylston, MA 01505-1534
Phone (508) 869-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247181MAMDPediatrics Physician
925925NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Pediatrics PC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: himabindu.muddana.1@32232.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1982912481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD ORCHARD CIR",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051534",
            "telephone_number": "508-869-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WINTHROP ST",
            "address_2": "DR. BABU PEDIATRICS, PC",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044435",
            "telephone_number": "508-753-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDDANA",
        "first_name": "HIMABINDU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "925925",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "247181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.