Malladi & Reddy, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MALLADI & REDDY, PA

Practice address

319 Gaslight Blvd
Lufkin, TX 75904-3124

Phone

(936) 634-3713

Fax

(936) 634-8136

NPI assigned

Mar 29, 2007

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bhagvan Reddy Malladi, MDNPI 1215938360

Title

Owner

Phone

(936) 634-3713

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Anesthesia at Malladi and Reddy PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Malladi and Reddy P.a.

  dba Anesthesia at Malladi and Reddy P.A.

  • Certified Registered Nurse Anesthetist
  • Lufkin, TX
  • NPI 1497010276
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFEIBA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhagvan R Malladi, MD

  • Gastroenterology Physician
  • Lufkin, TX
  • NPI 1215938360
  Medicare reassignment Care Compare group NPD Authorized official
• Jocelyn Soria Banuelos, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1487239232
  Medicare reassignment Care Compare group NPD
• Bhavna Patel

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1891430534
  Medicare reassignment Care Compare group NPD
• Raghuveer M Reddy, MD

  • Gastroenterology Physician
  • Lufkin, TX
  • NPI 1619979101
  Medicare reassignment Care Compare group NPD
• Whitney Clark, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Lufkin, TX
  • NPI 1043851645
  Medicare reassignment NPD

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1508986373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043124",
            "telephone_number": "936-634-3713",
            "fax_number": "936-634-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043124",
            "telephone_number": "936-634-3713",
            "fax_number": "936-634-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLADI & REDDY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "MALLADI",
        "authorized_official_first_name": "BHAGVAN",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-3713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khoi Ly, MD
• M G Dental Associates (always affordable dental center)
• Terri Diane Maberry, LMT
• Alaina Macleod, DNP, FNP
• Hafsah Mahmood
• Malladi and Reddy P.a. (Anesthesia at Malladi and Reddy P.A.)
• Bhagvan R Malladi, MD
• Suhasini Malladi, MD
• Kristina Marie Malnar, MS, APRN, FNP-C
• Frederick Rosas Manalo, PT

• Gastroenterology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.