Dr Shiyama Mudali, MD in Newark, DE

Dr Shiyama Mudali, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Newark, Delaware. She went to Johns Hopkins University School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Southern Ohio Pathology Consultants, Inc., Christiana Care Health Services Inc and her current practice location is 4755 Ogletown Stanton Rd, Newark, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 320-2695.

Dr Shiyama Mudali is licensed to practice in Delaware (license number C1-0027278) 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
	4755 Ogletown Stanton Rd, Newark, DE 19718-2200
	(302) 320-2695
	(302) 320-4618

Map and Direction

Physician's Profile

Full Name	Dr Shiyama Mudali
Gender	Female
Speciality	Pathology
Experience	19 Years
Location	4755 Ogletown Stanton Rd, Newark, Delaware
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: 07/02/2025

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
207ZH0000X	Pathology - Hematology	C1-0027278 (Delaware)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME108420 (Florida)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	C1-0027278 (Delaware)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Hospital	Cincinnati, OH	Hospital
Bethesda North	Cincinnati, OH	Hospital
Christiana Hospital	Newark, DE	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
Christiana Care Health Services Inc	9739097569	1380

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 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 Ph: (302) 320-2695	Dr Shiyama Mudali, MD 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 Ph: (302) 320-2695

Reviews and Comments

Pathology Doctors in Newark, DE

Dr. Brian W. Little, MD, PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, Office Of Academic Affairs & Research, Newark, DE 19718 Phone: 302-733-1042 Fax: 302-733-1068
Dr. Steven Todd Kramer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-733-3630 Fax: 302-733-3686
Dr. Michael Douglas Kanzer, MD Pathology Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-454-9830 Fax: 302-454-1445
Dr. William Macleod Kirby, MD Pathology Medicare: Medicare Enrolled Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-454-9830 Fax: 302-454-1445
Dr. Cynthia Ellen Flynn, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-454-9830 Fax: 302-454-1445
Christine Elizabeth Burgert-lon, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 4701 Ogletown Stanton Rd Ste 4200, Newark, DE 19713 Phone: 302-737-7700 Fax: 302-737-5407
Dr. Gary Bruce Witkin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 4755 Ogletown Stanton Rd, Newark, DE 19718 Phone: 302-454-9830 Fax: 302-454-1445

Dr Shiyama Mudali, MD - Medicare Pathology in Newark, DE