MAHATHI MUDIGONDA DO NPI 1548992357

NPI Information

  • NPI: 1548992357
  • Provider Name: MAHATHI MUDIGONDA, DO
  • Classification: Family Medicine - 207QS1201X
  • Specialization: Sleep Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 CHURCH ST
    WILKES BARRE, PA
    ZIP 18765
  • Phone: (570) 808-3410

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NPI Details

Mahathi Mudigonda, DO is a sleep medicine family medicine in Wilkes Barre, PA. The provider is a Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. Mahathi Mudigonda, DO NPI is 1548992357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 CHURCH ST
WILKES BARRE, PA
ZIP 18765-151
Phone: (570) 808-3410

The NPI 1548992357 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2022 and was last updated on 7/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program5151015882MICHIGANNo
2207QS1201XFamily MedicineSleep MedicineOT024405PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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