NPIMap

Individual provider Active NPI

Hari Reddy Mallidi, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Miami, FL
National Provider Identifier
1306954995
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME161505 Issued in FL
Practice address
1801 NW 9TH Ave
Miami, FL 33136-1101
Phone
(053) 355-5000
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X ME161505 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME161505 FL Primary

Addresses

Primary practice location

1801 NW 9TH Ave
Miami, FL 33136-1101

Mailing address

1801 NW 9TH Ave
Miami, FL 33136-1101
Phone (053) 355-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150903001052 MA Practitioner - Thoracic Surgery 8426155284 Reassigns benefits to 1 organization
I20231005001674 FL Practitioner - Thoracic Surgery 8426155284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Toronto, Faculty of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 243-5302

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME161505FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
43744TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Aug 1, 2015 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Sep 1, 2023 Accepting new patients
University of Miami CurrentSince Sep 1, 2023 Accepting new patients
University of Miami Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 2
Miami, FL 33136
Phone (786) 466-8490

1801 NW 9th Ave
Miami, FL 33136
Phone (305) 355-5000

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

75 Francis St
Boston, MA 02115

75 Francis St
#390
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1306954995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "053-355-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "053-355-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIDI",
        "first_name": "HARI",
        "middle_name": "REDDY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "FL",
            "license": "ME161505",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME161505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.