Individual provider Active NPI

Srinithya Mallela, M.D.

  • Hospitalist Physician
  • Knoxville, TN
National Provider Identifier
1386170892
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
64339 Issued in TN
Practice address
1924 Alcoa Hwy # U56
Knoxville, TN 37920-1511
Phone
(865) 305-9081
Fax
(865) 305-8769
NPI assigned
May 3, 2017
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64339 TN
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 64339 TN Primary

Addresses

Primary practice location

1924 Alcoa Hwy # U56
Knoxville, TN 37920-1511

Mailing address

PO Box 415000-Msc8135
Nashville, TN 37241-8135
Phone (865) 670-6199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001036 TN Practitioner - HospitalistPractitioner - Internal Medicine 4183042260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511

550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Sep 1, 2022 Accepting new patients
University Health System, Inc Hospitalist CurrentSince Sep 1, 2022 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Nov 30, 2021 Accepting new patients
University Health System, Inc Internal Medicine Current Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

1924 Alcoa Hwy
#56
Knoxville, TN 37920
Phone (865) 305-9081

1924 Alcoa Hwy
#U56
Knoxville, TN 37920
Phone (865) 305-9081

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1386170892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415000-MSC8135",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372418135",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY # U56",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9081",
            "fax_number": "865-305-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLELA",
        "first_name": "SRINITHYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "64339",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "64339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.