Dr Shiyama Mudali, MD in Cincinnati, OH

Dr Shiyama Mudali, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Cincinnati, Ohio. She went to Johns Hopkins University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Southern Ohio Pathology Consultants, Inc. and her current practice location is 375 Dixmyth Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 865-1321.

Dr Shiyama Mudali is licensed to practice in Florida (license number ME108420) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982756565.

Contact Information

	Dr Shiyama Mudali, MD
	375 Dixmyth Ave, Cincinnati, OH 45220-2475
	(513) 865-1321
	(513) 865-1254

Map and Direction

Physician's Profile

Full Name	Dr Shiyama Mudali
Gender	Female
Speciality	Pathology
Experience	18 Years
Location	375 Dixmyth Ave, Cincinnati, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shiyama Mudali attended and graduated from Johns Hopkins University School Of Medicine in 2006

NPI Data:

NPI Number: 1982756565
Provider Enumeration Date: 01/17/2007
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 8921276510
Enrollment ID: I20130422000043

Medical Identifiers

Medical identifiers for Dr Shiyama Mudali such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982756565	NPI	-	NPPES
003496200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZH0000X	Pathology - Hematology	35.120826 (Ohio)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME108420 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Hospital	Cincinnati, OH	Hospital
Bethesda North	Cincinnati, OH	Hospital
Mccullough-hyde Memorial Hospital	Oxford, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Ohio Pathology Consultants, Inc.	3971585217	16

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shiyama Mudali allows following entities to bill medicare on her behalf.

Entity Name	Southern Ohio Pathology Consultants, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831173202 PECOS PAC ID: 3971585217 Enrollment ID: O20040602000357

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shiyama Mudali is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shiyama Mudali, MD 7111 Fairway Dr, Suite 400, Palm Beach Gardens, FL 33418-4204 Ph: (800) 330-6565	Dr Shiyama Mudali, MD 375 Dixmyth Ave, Cincinnati, OH 45220-2475 Ph: (513) 865-1321

Reviews and Comments

Pathology Doctors in Cincinnati, OH

Bruce G Storrs, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-872-1400
Mei Liang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Lab Medicine Building, Cincinnati, OH 45219 Phone: 513-584-3834 Fax: 513-558-2289
Parsa Hodjat, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave., Ml 1035, Cincinnati, OH 45229 Phone: 513-636-4261 Fax: 513-636-3924
Gregory Retzinger, MD Pathology Medicare: Medicare Enrolled Practice Location: 231 Albert Sabin Way, Department Of Pathology, Cincinnati, OH 45267 Phone: 513-558-4500 Fax: 513-558-2289
Ila N Mehta Iii, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-624-4337
Jiang Wang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-1000 Fax: 513-584-3778
Dani S Zander, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 234 Goodman St, Cincinnati, OH 45219 Phone: 513-584-7284 Fax: 513-584-3807

Dr Shiyama Mudali, MD - Medicare Pathology in Cincinnati, OH