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Active NPI 1376129106 Individual Practitioner Male Practitioner

Dr. Suraj Reddy Muddasani , MD

Dermatology • Puyallup, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Suraj Muddasani, MD is a certified Dermatology practicing in Puyallup, WA. With approximately 5 years of clinical experience since graduating from Cincinnati College Of Medicine And Surgery in 2021, Dr. Muddasani delivers high-quality medical care to the local community at 1703 S MERIDIAN STE 101.

Dr. Muddasani is affiliated with Cascade Eye And Skin Centers Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1703 S Meridian Ste 101

Puyallup, WA 983717590

Telephone 2534463904

Medicare Profile & Education

Medical School

Cincinnati College Of Medicine And Surgery

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Puyallup, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -10.2 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Puyallup, WA (397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Muddasani (5 Years) 5 Yrs
Puyallup Specialty Average (15.2 Years) 15.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-08-20
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD61657223

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Cascade Eye And Skin Centers Pc

1703 S Meridian, Puyallup, WA 983717590

Phone: 2538483000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1386271856

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Elizabeth Deonigi , AGNP

Nurse Practitioner - Adult Health

NPI 1821642026

Adult-Gerontology Nurse Practitioner

Dr. Tawny Hung , MD

Pathology - Anatomic Pathology

NPI 1831500362

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 20, 2025

Registered at 1703 S MERIDIAN STE 101, PUYALLUP, WA 983717590 (Tel: 2534463904)

📍
Updated Business Mailing Address August 20, 2025

Registered at 1703 S MERIDIAN STE 101, PUYALLUP, WA 983717590 (Tel: 2534463904)

👤
Provider Name / Credentials Updated August 20, 2025

Recorded as SURAJ MUDDASANI, MD

NPI Profile Active March 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2021

Registered at 234 EUGENIO MARIA DE HOSTO BLVD, BRONX, NY 104515504 (Tel: 8446924692)

📍
Updated Business Mailing Address March 22, 2021

Registered at 23 LARKSPUR DR, DAYTON, NJ 088101453 (Tel: 7323559543)

👤
Provider Name / Credentials Updated March 22, 2021

Recorded as SURAJ MUDDASANI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376129106
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2021
Last Update: August 20, 2025
Sole Proprietor: No

Mailing Address

1703 S Meridian Ste 101

Puyallup, WA 983717590

Phone: 2534463904

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.