Active NPI
Mallika Thiruppathi, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 58517
- Practice address
- 1400 Bradley Lake Blvd
Columbus, GA 31904-3688 - Phone
- (334) 737-2737
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 058517 | GA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 058517 | GA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 58517 | GA | Primary |
Addresses
Primary practice location
1400 Bradley Lake Blvd
Columbus, GA 31904-3688
Mailing address
100 Lakeridge CT
Columbus, GA 31904-1800
Phone (706) 580-7071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Enterprise CT
Suite B
Columbus, GA 31904-9231
Phone (706) 507-0001
1400 Bradley Lake Blvd
Columbus, GA 31904-3688
Phone (706) 256-2525
Hospital & facility affiliations
- Piedmont Columbus Regional Midtown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058517 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 58517 | GA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Alabama Endocrinology, P.C. | Multi-Specialty | Current | Accepting new patients |
| Chattahoochee Institute for Wellness, Longevity & Weight Management | Multi-Specialty | Current | Accepting new patients |
Locations
3320 Skyway Dr
Ste 602
Opelika, AL 36801
Phone (334) 737-2737
110 Enterprise Ct
Ste B
Columbus, GA 31904
Phone (706) 507-0001
1400 Bradley Lake Blvd
Columbus, GA 31904
Phone (334) 737-2737
Interoperability endpoints
- mthiruppathi@eastalaendo1.directbygreenway.com
Organizations & group practices 2
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.
-
- Obesity and Weight Management Nutrition Registered Dietitian
- Columbus, GA
- NPI 1770366049
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1366604167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LAKERIDGE CT",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319041800",
"telephone_number": "706-580-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BRADLEY LAKE BLVD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319043688",
"telephone_number": "334-737-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIRUPPATHI",
"first_name": "MALLIKA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "058517",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "GA",
"license": "058517",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "GA",
"license": "58517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.