Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ram Mudiyam, MD

Individual provider Orthopaedic Surgery Physician · NPI 1417957093

Mr. Ram Mudiyam, MD is an Orthopedic Surgery in Newport Beach, California. Qualified in 1976, 50 years ago. Practices with Pacifica Orthopedics Medical Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
50
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985
Phone: (949) 722-5017
Fax: (949) 432-3354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A039174 (CA)

Record details

NPI number1417957093
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2005
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020
Mailing address22 Corporate Plaza Dr, Newport Beach, CA 92660-7985

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Group practice Pacifica Orthopedics Medical Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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