Individual provider Active NPI

Mallika Thiruppathi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbus, GA
National Provider Identifier
1366604167
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
58517 Issued in GA
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

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 058517 GA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 058517 GA
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929001198 GA Practitioner - Internal Medicine 8820392335 Reassigns benefits to 2 organizations

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
East Alabama Endocrinology, P.C.Group PAC ID 8224187729, 7 clinicians

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 Hospital, Columbus, GA, CCN 110064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
058517GAMDEndocrinology, Diabetes & Metabolism Physician
58517GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Endocrinology, P.C. Multi-Specialty CurrentSince Sep 16, 2016 Accepting new patients
Chattahoochee Institute for Wellness, Longevity & Weight Management Multi-Specialty CurrentSince Aug 14, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.