Prashant Mudireddy, MD
NPI 1568669661 · Gastroenterology Physician · Greenville, NC
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prashant Mudireddy, MD is a Gastroenterology Physician provider in Greenville, NC (NPI 1568669661).
Provider details
- NPI number
- 1568669661
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD433263 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
972 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Review By Radiologist of Image From Tube Placement Into Bile Duct Using an Endoscope74328 | 137 | $23 |
| Removal of Stone Or Debris From Bile Or Pancreatic Duct Using a Flexible Endoscope43264 | 130 | $73 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 91 | $129 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 73 | $37 |
| Insertion of Stent Into Pancreatic Or Bile Duct Using a Flexible Endoscope43274 | 65 | $372 |
| Ultrasound Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43259 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 103 | 93 |
| Pantoprazole Sodium | 49 | 17 |
| Ciprofloxacin Hcl | 35 | 33 |
| Omeprazole | 35 | 20 |
| Lipase/Protease/Amylasebrand: Creon | 19 | — |
| Linaclotidebrand: Linzess | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$293 across 11 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-02
- Last updated
- 2022-01-13
- Certified
- 2022-01-12
Frequently asked questions
- What is Prashant Mudireddy's NPI number?
- Prashant Mudireddy's National Provider Identifier (NPI) is 1568669661, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prashant Mudireddy's specialty?
- Prashant Mudireddy is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Prashant Mudireddy located?
- Prashant Mudireddy's practice location on file with NPPES is 521 Moye Blvd Ste C3, Greenville, NC 27834-2849.
- What is Prashant Mudireddy's phone number?
- The practice phone number listed in the NPPES registry for Prashant Mudireddy is (252) 816-0800.
- Does Prashant Mudireddy accept Medicare?
- Prashant Mudireddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prashant Mudireddy's NPI active?
- Yes — Prashant Mudireddy's NPI (1568669661) is active in the NPPES registry as of the last update on 2022-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.