Individual provider Active NPI

Mallika Manyapu, MD, MPH

  • Emergency Medicine Physician
  • Parker, AZ
National Provider Identifier
1053872523
Registry record updated Aug 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD210011428 Issued in DC
Practice address
12033 Agency Rd
Parker, AZ 85344-7718
Phone
(928) 669-2137
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD210011428 DC Primary
Emergency Medicine Physician 207P00000X 327798 NY
Student in an Organized Health Care Education/Training Program 390200000X GA

Addresses

Primary practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

1425 P St NW Apt 503
Washington, DC 20005-1962
Phone (678) 640-8733

Other practice location 1

1400 Pelham Pkwy S Bldg 6
Bronx, NY 10461-1119
Phone (718) 918-5820

Other practice location 2

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 741-2904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230623000756 DC Practitioner - Emergency Medicine 8820456817 Reassigns benefits to 3 organizations
I20250908000079 TX Practitioner - Emergency Medicine 8820456817 Reassigns benefits to 4 organizations
I20251029000516 VA Practitioner - Emergency Medicine 8820456817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Faculty Associates, IncGroup PAC ID 4082528898, 676 clinicians
Commonwealth Emergency Physicians PCGroup PAC ID 7618870312, 44 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7039

9321 Sanger St
Suite 100
Lorton, VA 22079-2720
Phone (703) 922-7631

Junction of Hwy 371 Navajo RT 9
Crownpoint, NM 87313-0358
Phone (505) 786-5291

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327798NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thoreau Clinic CurrentSince Aug 25, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine Current Accepting new patients
Commonwealth Emergency Physicians PC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
Pueblo Pintado Clinic Current Accepting new patients
Commonwealth Critical Care LLC CurrentSince Sep 1, 2025 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital CurrentSince Aug 25, 2025 Accepting new patients
DHHS IHS Phoenix CurrentSince Jul 1, 2025 Accepting new patients
Irene Benn Medical Center CurrentSince Jul 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 1, 2025 Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine CurrentSince May 10, 2023 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jun 24, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jun 24, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 1, 2025 Accepting new patients
Commonwealth Emergency Physicians PC PastSince Apr 17, 2020 Accepting new patients
Commonwealth Critical Care LLC PastSince Jun 22, 2021 Accepting new patients
Jacobi Medical Center Ed Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

9321 Sanger St
Ste 100
Lorton, VA 22079
Phone (703) 922-7631

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1053872523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 P ST NW APT 503",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200051962",
            "telephone_number": "678-640-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 AGENCY RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447718",
            "telephone_number": "928-669-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S Bldg 6",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611119",
            "country_code": "US",
            "telephone_number": "718-918-5820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1310 Southern Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200324623",
            "country_code": "US",
            "telephone_number": "202-741-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANYAPU",
        "first_name": "MALLIKA",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD210011428",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "327798",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.