HIMA BINDU MUSUNURU MBBS
NPI 1285291294
Radiology - Radiation Oncology in Pittsburgh, PA
NPI Status: Active since May 24, 2019
Contact Information
9100 BABCOCK BLVD RM G762
PITTSBURGH, PA
ZIP 15237
Phone: (412) 367-6454
- Individual
- Female
- Years of Experience 23
- Radiology
- Radiation Oncology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About HIMA MUSUNURU
This page provides the complete NPI Profile along with additional information for Hima Musunuru, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Radiology, focusing in radiation oncology and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1285291294 assigned on May 2019. The practitioner's primary taxonomy code is 2085R0001X with license number MD481981 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1285291294
- Provider Name
- HIMA BINDU MUSUNURU MBBS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9100 BABCOCK BLVD RM G762 PITTSBURGH, PA 15237
- Location Phone
- (412) 367-6454
- Mailing Address
- 2516 ADELE CT SEWICKLEY, PA 15143
- Medical School Name
- OTHER
- Graduation Year
- 2003
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-24-2019
- Last Update Date
- 08-15-2023
- Code Navigator
Location Map
Secondary Locations
- 2516 Adele Ct
Sewickley, PA 15143
(240) 463-0474
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Radiation Oncology
- Taxonomy Code
- 2085R0001X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD481981
- License State
- PA
- Taxonomy Description
- A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Medicare Participation & PECOS Enrollment Status
Hima Musunuru is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Hima Musunuru is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6507229192
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230830000995
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $41.71 for a new patient copayment and $17.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15237 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.87
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $41.71
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hima Musunuru is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UPMC PASSAVANT | 9100 BABCOCK BOULEVARD PITTSBURGH, PA 15237 | (412) 367-6700 | Acute Care Hospitals | |
MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM | 300 HALKET STREET PITTSBURGH, PA 15213 | (412) 641-4010 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 2 | 9 | 1 | 2 | 9 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 4 | 9 | 2 | 2 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 4 + 9 + 2 + 2 + 1 + 8 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1285291294 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285291294, enumerated in the NPI registry as an "individual" on May 24, 2019
The provider is located at 9100 Babcock Blvd Rm G762 Pittsburgh, Pa 15237 and the phone number is (412) 367-6454
The provider's speciality is Radiology with taxonomy code 2085R0001X with a focus in Radiation Oncology
The provider has more than 23 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $166.87 with an average copayment of $41.71 for new patient appointments. Established patients should expect a typical charge of $68.36 and an average copayment of 17.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): UPMC PASSAVANT and MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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