NPIMap

Individual provider Active NPI

Nalini G Kakimallaiah, M.D.

  • Internal Medicine Physician
  • Scranton, PA
National Provider Identifier
1023258126
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440504 Issued in PA
Practice address
700 Quincy Ave
Hospitalist Office
Scranton, PA 18510-1724
Phone
(866) 519-0457
Fax
(570) 770-5263
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD440504 PA Primary

Addresses

Primary practice location

700 Quincy Ave
Hospitalist Office
Scranton, PA 18510-1724

Mailing address

1401 Electric St
Dunmore, PA 18509-2098
Phone (570) 770-5929

Other identifiers 1

IdentifierTypeStateIssuer
1025143460005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000919 PA Practitioner - HospitalistPractitioner - Internal Medicine 4284828963 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC Internal Medicine CurrentSince Oct 13, 2015 Accepting new patients
Advanced Inpatient Medicine PC CurrentSince Jul 15, 2022 Accepting new patients
Pennsylvania Hospitalist Group, LLC CurrentSince May 1, 2024 Accepting new patients
Pennsylvania HM Associates PC CurrentSince Apr 13, 2023 Accepting new patients
Scranton Hospital Company LLC Past Accepting new patients

Locations

150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

1401 Electric St
Scranton, PA 18509
Phone (570) 770-5929

700 Quincy Ave
Ofc
Scranton, PA 18510
Phone (866) 519-0457

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1023258126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ELECTRIC ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092098",
            "telephone_number": "570-770-5929",
            "fax_number": "570-207-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 QUINCY AVE",
            "address_2": "HOSPITALIST OFFICE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101724",
            "telephone_number": "866-519-0457",
            "fax_number": "570-770-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKIMALLAIAH",
        "first_name": "NALINI",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025143460005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.