Chethan Mudiyam, MD
NPI 1609361971 · Obstetrics & Gynecology Physician · Phoenix, AZ
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chethan Mudiyam, MD is a Obstetrics & Gynecology Physician provider in Phoenix, AZ (NPI 1609361971).
Provider details
- NPI number
- 1609361971
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R77674 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-06-28
- Last updated
- 2019-09-04
Frequently asked questions
- What is Chethan Mudiyam's NPI number?
- Chethan Mudiyam's National Provider Identifier (NPI) is 1609361971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chethan Mudiyam's specialty?
- Chethan Mudiyam is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Chethan Mudiyam located?
- Chethan Mudiyam's practice location on file with NPPES is 1441 N 12th St, Phoenix, AZ 85006-2837.
- What is Chethan Mudiyam's phone number?
- The practice phone number listed in the NPPES registry for Chethan Mudiyam is (602) 521-5700.
- Does Chethan Mudiyam accept Medicare?
- Chethan Mudiyam is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Chethan Mudiyam's NPI active?
- Yes — Chethan Mudiyam's NPI (1609361971) is active in the NPPES registry as of the last update on 2019-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.