SURAJ REDDY MUDDASANI MD
NPI 1376129106
Dermatology in Puyallup, WA
NPI Status: Active since March 22, 2021
Contact Information
1703 S MERIDIAN STE 101
PUYALLUP, WA
ZIP 98371
Phone: (253) 446-3904
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Dermatology
- PECOS Enrolled
About SURAJ MUDDASANI
This page provides the complete NPI Profile along with additional information for Suraj Muddasani, a provider established in Puyallup, Washington with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1376129106 assigned on March 2021. The practitioner's primary taxonomy code is 207N00000X with license number MD61657223 (WA). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1376129106
- Provider Name
- SURAJ REDDY MUDDASANI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371
- Location Phone
- (253) 446-3904
- Mailing Address
- 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371
- Mailing Phone
- (253) 446-3904
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-22-2021
- Last Update Date
- 08-20-2025
- Code Navigator
A dermatologist like Suraj Muddasani is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD61657223
- License State
- WA
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Suraj Muddasani 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
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 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 98371 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.29
- Minimum New Patient Price $57.27
- Maximum New Patient Price $172.8
- Average New Patient Copayment $22.07
- Minimum New Patient Copayment $14.31
- Maximum New Patient Copayment $43.2
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.29
- Minimum Established Patient Price $18.56
- Maximum Established Patient Price $141.11
- Average Established Patient Copayment $17.82
- Minimum Established Patient Copayment $4.64
- Maximum Established Patient Copayment $35.27
* 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.
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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 | 3 | 7 | 6 | 1 | 2 | 9 | 1 | 0 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 2 | 2 | 18 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 2 + 2 + 1 + 8 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1376129106 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144327289 | MR. RIKK JEREMY SCHLAFFMAN O.D. Individual | Optometrist | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1053496919 | DR. CHERYL DAWN CROFT O.D. Individual | Optometrist | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1326126814 | SUSAN L. SULLIVAN MD Individual | Dermatology | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 446-3903 |
| 1275534919 | ROY J PARK MD Individual | Ophthalmology | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1881868370 | DR. EVELYN X FU M.D. Individual | Ophthalmology (Retina Specialist) | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1134276280 | DR. ADAM G BUCHANAN MD Individual | Ophthalmology | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1174941728 | LYNDSEY SWITZER P.A. Individual | Physician Assistant | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1568842185 | ROSS BROCKMAN D.O. Individual | Dermatology (Pediatric Dermatology) | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1912659319 | MACKENZIE HILL SCHWARTZ Individual | Optometrist | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1528742889 | EMILY ANN DOHRMANN OD Individual | Optometrist | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1710327770 | DR. BRENNA ROSE ROBERTSON O.D. Individual | Optometrist | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1881998656 | LISA CHEN MD Individual | Ophthalmology | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1891369534 | KATHRYN A WONG-GRODEN OD Individual | Optometrist | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1053969451 | KARI ANN WALEN PA-C Individual | Physician Assistant | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1366911604 | EUNICE PARK PA-C Individual | Physician Assistant (Medical) | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1023217981 | JENNIFER LYNN PINSON PAC Individual | Physician Assistant | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1164782454 | DR. MICHAEL ARTHUR CASEY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1194790998 | DR. TRAVIS C FRAZIER M.D. Individual | Ophthalmology (Glaucoma Specialist) | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
| 1699194175 | DR. THOMAS LAM M.D. Individual | Dermatology | 1703 S MERIDIAN STE 101 PUYALLUP, WA 98371 (253) 848-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376129106, enumerated in the NPI registry as an "individual" on March 22, 2021
The provider is located at 1703 S Meridian Ste 101 Puyallup, Wa 98371 and the phone number is (253) 446-3904
The provider's speciality is Dermatology with taxonomy code 207N00000X
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 $88.29 with an average copayment of $22.07 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 22, 2021. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.