Mallik R Thatipelli, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C53592 Issued in CA

Practice address

2808 F St Ste a
Bakersfield, CA 93301-1833

Phone

(661) 873-4216

Fax

(661) 829-0600

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mallikarjun R Thatipelli Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Zora S Gill M.D Inc

  • Medical Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1033401377

  Single Specialty

  NPD (past)
• Delta Medical Group

  • Emergency Medicine Physician
  • Greenville, MS
  • NPI 1790701134

  Single Specialty

  NPD (past)
• Delta Physician Practices

  • Family Nurse Practitioner
  • Greenville, MS
  • NPI 1598086639
  NPD (past)
• Mayo Clinic

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1083249577
  NPD (past)
• Pulse Cardiovascular Interventions LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
  • NPI 1821584632
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114904166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 WATERVIEW LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559018485",
            "telephone_number": "614-218-1012",
            "fax_number": "952-487-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 F ST STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011833",
            "telephone_number": "661-873-4216",
            "fax_number": "661-829-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATIPELLI",
        "first_name": "MALLIK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C53592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6474639",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLIKARJUN",
            "last_name": "THATIPELLI",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elias Benjamin Teutimez
• Henry Hung Thai
• Smita Hiten Thakkar, M.D.
• Skylynn Thangwaritorn, DO
• Ashika Rachel Thanju, NP
• The Art of Tru Light Inc
• The Art of Tru Light Inc
• The Art of Tru Light Inc
• The ASC Treatment Group
• The Body Studio

• Cardiovascular Disease Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.