Individual provider Active NPI

Jyothi Reddy Mallepalli, MD

  • Rheumatology Physician
  • Monroe, LA
National Provider Identifier
1184635344
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
12442R Issued in LA
Practice address
3402 Magnolia Cove
Monroe, LA 71203
Phone
(318) 388-5830
Fax
(318) 322-1249
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 12442R LA Primary

Addresses

Primary practice location

3402 Magnolia Cove
Monroe, LA 71203

Mailing address

PO Box 4083
Monroe, LA 71211-4083
Phone (318) 388-5830

Other identifiers 1

IdentifierTypeStateIssuer
1533424MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20050117000117 LA Practitioner - RheumatologyPractitioner - Internal Medicine 1850340902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Arthritis and Diabetes Clinic IncGroup PAC ID 7012981368, 5 clinicians

Practice addresses (Care Compare)

3402 Magnolia Cove
Monroe, LA 71203-2374

3402 Magnolia CV
Monroe, LA 71203-2374
Phone (318) 388-5830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as individual
Quality
82.02
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12442RLAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Arthritis and Diabetes Clinic Inc Rheumatology CurrentSince Aug 11, 2008 Accepting new patients
Mallepalli MD a Professional Past Accepting new patients
Hospitalist Group of Northeast Louisiana Past Accepting new patients
The Arthritis Clinic Inc Past Accepting new patients

Locations

3402 Magnolia Cv
Monroe, LA 71203
Phone (318) 388-5380

Organizations & group practices 4

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 6

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270684800000",
    "number": "1184635344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4083",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114083",
            "telephone_number": "318-388-5830",
            "fax_number": "318-322-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 MAGNOLIA COVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71203",
            "telephone_number": "318-388-5830",
            "fax_number": "318-322-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEPALLI",
        "first_name": "JYOTHI",
        "middle_name": "REDDY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "12442R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533424",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.