Individual provider Active NPI

Mahesh Rudrappa Mallikarjun, MD

  • Anesthesiology Physician
  • Steubenville, OH
National Provider Identifier
1508844838
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35-085208 Issued in OH
Practice address
4000 Johnson Rd
Anesthesia Dept
Steubenville, OH 43952-2300
Phone
(740) 264-9610
Fax
(740) 264-7004
NPI assigned
Jan 6, 2006
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35-085208 OH Primary

Addresses

Primary practice location

4000 Johnson Rd
Anesthesia Dept
Steubenville, OH 43952-2300

Mailing address

PO Box 669
Steubenville, OH 43952-5669
Phone (740) 264-9610

Other identifiers 2

IdentifierTypeStateIssuer
2520123MedicaidOH
3810001008MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041201001071 OH Practitioner - Anesthesiology 5698731610 Reassigns benefits to 1 organization
I20161011000356 PA Practitioner - Anesthesiology 5698731610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

320 E N Ave
FL 2
Pittsburgh, PA 15212-4756
Phone (412) 359-6581

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-085208OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Punxsutawney Medical Services, Inc Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Allegheny Clinic Anesthesiology CurrentSince Sep 30, 2021 Accepting new patients
Allegheny Clinic CurrentSince Sep 30, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
Trinity Anesthesiology Associates Anesthesiology Past Accepting new patients

Locations

841 Hospital Rd
Indiana, PA 15701
Phone (724) 463-3440

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

320 E North Ave
Fl 2
Pittsburgh, PA 15212
Phone (412) 359-3005

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

Interoperability endpoints

  • Direct secure messaging: mmallikarjun432581@direct.ahn.org

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

Hospital & facility affiliations 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1508844838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439525669",
            "telephone_number": "740-264-9610",
            "fax_number": "740-266-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 JOHNSON RD",
            "address_2": "ANESTHESIA DEPT",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522300",
            "telephone_number": "740-264-9610",
            "fax_number": "740-264-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIKARJUN",
        "first_name": "MAHESH",
        "middle_name": "RUDRAPPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35-085208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2520123",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001008",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.