Unknown Mallikarjunappa, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

M-1858 Issued in GU

Practice address

633 Gov Carlos Camacho Road Suite 210
Tamuning, GU 96913

Phone

(671) 649-1001

NPI assigned

Nov 15, 2007

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mallikarjunappa MK Other name

Medicare fee-for-service enrollment

Enrolled in GU

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 1

Specialty

Diagnostic Radiology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Guam Medical Imaging Center LLCGroup PAC ID 6103715842, 7 clinicians

Guam X-RayGroup PAC ID 8123180742, 33 clinicians

Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Regional Medical City Hospital, Dededo, GU, CCN 650003
• Guam Memorial Hospital Authority Hospital, Tamuning, GU, CCN 650001

Merit-based Incentive Payment System (MIPS)

Final score

88.81 of 100Reported as group

Quality

83.57

Improvement activities

40

Cost

76.16

Merit-based Incentive Payment System (MIPS)

Final score

91.74 of 100Reported as group

Quality

77.93

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

65.1 of 100Reported as group

Quality

100

Promoting interoperability

0

Improvement activities

30

Cost

79.51

Merit-based Incentive Payment System (MIPS)

Final score

79.22 of 100Reported as group

Quality

78.84

Improvement activities

40

Cost

61.61

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD
• Guam X-Ray

  dba Guam Radiology Consultants

  • Vascular & Interventional Radiology Physician
  • Tamuning, GU
  • NPI 1376767426

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Guam Medical Imaging Center LLC

  • Nuclear Radiology Physician
  • Tamuning, GU
  • NPI 1770707945
  Medicare reassignment Care Compare group
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Medicare reassignment Care Compare group

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

• Guam Healthcare Development Incorporated

  dba Guam Regional Medical City

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  Care Compare affiliation
• Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
  • NPI 1366519027
  Care Compare affiliation

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1093996233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO ROAD SUITE 210",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS CAMACHO ROAD SUITE 210",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-649-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 WEST WISCONSIN AVENUE",
            "address_2": "FROEDTERT MEMORIAL LUTHERAN HOSPITAL",
            "address_purpose": "LOCATION",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-805-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLIKARJUNAPPA",
        "first_name": "UNKNOWN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-1858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLIKARJUNAPPA",
            "last_name": "MK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Ivy Grace Magistre-Legend, PA-C
• Selwyn E. Mahon, M.D.
• Janice Malilay, DDS
• Jehn Reiko Quililan Mallari
• Jonne Allen D Mallari
• Caressa Elisabeth Maluwelmeng, PA-C
• Ruby Deguzman Manalastas, M.D.
• Ma Cristina Quemada Manaloto, MD
• Eyal Margalit, MD, PHD
• Maria Melinda B Sangalang (Island Foot Specialists)

• Diagnostic Radiology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Diagnostic Radiology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.