Individual provider Active NPI

Ajaychandra Reddy Malladi, M.D

  • Internal Medicine Physician
  • Burlington, NC
National Provider Identifier
1114379534
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2025-03617 Issued in NC
Practice address
1409 University Dr Ste 105
Burlington, NC 27215-8787
Phone
(336) 584-5659
Fax
(336) 584-4072
NPI assigned
Jul 9, 2016
Last updated
Jan 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301109524 MI
Internal Medicine Physician 207R00000X 04-41883 KS
Internal Medicine Physician 207R00000X 2025-03617 NC Primary

Addresses

Primary practice location

1409 University Dr Ste 105
Burlington, NC 27215-8787

Mailing address

1409 University Dr Ste 105
Burlington, NC 27215-8787
Phone (336) 584-5659

Other practice location 1

2300 N 14th Ave Ste 104
Dodge City, KS 67801-2367
Phone (620) 371-7010

Other practice location 2

44405 Woodward Ave
H-23
Pontiac, MI 48341-5023
Phone (248) 858-6233 ext. 83235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191107000857 KS Practitioner - Internal Medicine 3678850336 Reassigns benefits to 1 organization
I20260130002790 NC Practitioner - Internal Medicine 3678850336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

1409 University Dr
Suite 105
Burlington, NC 27215-8787
Phone (336) 584-5659

520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1700

940 Golf House CT E
Whitsett, NC 27377-9296
Phone (336) 449-9848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-41883KSMDInternal Medicine Physician
4301109524MIMDInternal Medicine Physician
2025-03617NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Mar 22, 2026 Accepting new patients
Kansas Hospitalist Services PA CurrentSince May 1, 2020 Accepting new patients
St Catherine Hospital CurrentSince May 25, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Mar 22, 2026 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
Commonspirit Kansas, Inc. Internal Medicine CurrentSince May 25, 2022 Accepting new patients
St. Catherine Hospital Internal Medicine Past Accepting new patients
Trinity Manor Opco LLC Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

112 W Ross Blvd
Ste A
Dodge City, KS 67801
Phone (620) 225-5496

112 W Ross Blvd
Ste C
Dodge City, KS 67801
Phone (620) 227-2064

2300 N 14th Ave
Ste 104
Dodge City, KS 67801
Phone (620) 225-7744

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

1409 University Dr
Ste 105
Burlington, NC 27215
Phone (336) 584-5659

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 8

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.

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": "1468022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1114379534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 UNIVERSITY DR STE 105",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158787",
            "telephone_number": "336-584-5659",
            "fax_number": "336-584-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 UNIVERSITY DR STE 105",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158787",
            "telephone_number": "336-584-5659",
            "fax_number": "336-584-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N 14th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678012367",
            "country_code": "US",
            "telephone_number": "620-371-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44405 Woodward Ave",
            "address_2": "H-23",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483415023",
            "country_code": "US",
            "telephone_number": "248-858-6233 x83235",
            "fax_number": "248-858-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLADI",
        "first_name": "AJAYCHANDRA REDDY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-09",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109524",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-41883",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2025-03617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.