Keerthana Dwarakan Mugundu, MD
NPI 1629430897ActiveIndividual· Hospitalist· Lagrange, GA
Hospitalist (MD) with Wellstar Medical Group LLC, practicing in Lagrange, Georgia. In 2024 Medicare paid $27,094 for 158 patients, and Part D covered 168 of their prescriptions, 85% of them generic. Lists Wellstar West Georgia Medical Center as a hospital affiliation.
Overview
| NPI | 1629430897 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 25, 2016 |
| Last updated in NPPES | Feb 4, 2020 |
| Certified by provider | Feb 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 84428 | GA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 285 across 7 procedure codes |
| Paid by Medicare | $27,094 |
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 185 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $11,370 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Hospitalist |
Medical group
- Wellstar Medical Group LLCMarietta, GA · 3,093 clinicians
Hospital affiliation
- Wellstar West Georgia Medical CenterLagrange, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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