Individual provider Active NPI

Malathi L. Kakani, PA-C

  • Physician Assistant
  • Mount Airy, MD
National Provider Identifier
1649289562
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003311 Issued in MD
Practice address
1502 S Main St Ste 202
Mount Airy, MD 21771-5363
Phone
(301) 829-9570
Fax
(301) 829-1734
NPI assigned
Aug 7, 2006
Last updated
Jul 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003311 MD Primary

Addresses

Primary practice location

1502 S Main St Ste 202
Mount Airy, MD 21771-5363

Mailing address

1502 S Main St Ste 202
Mount Airy, MD 21771-5363
Phone (301) 829-9570

Other names 1

  • Malathi L. Pallinani Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000189 MD Practitioner - Physician Assistant 9436156056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Frederick Health Way
Frederick, MD 21701-9435
Phone (240) 215-6310

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 215-6310

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

7211 Bank CT
Frederick, MD 21703-8482
Phone (240) 215-6310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
75.5
Promoting interoperability
100
Improvement activities
40
Cost
68.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003311MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Oct 1, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Frederick Health Medical Group LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

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 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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1649289562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 202",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715363",
            "telephone_number": "301-829-9570",
            "fax_number": "301-829-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S MAIN ST STE 202",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715363",
            "telephone_number": "301-829-9570",
            "fax_number": "301-829-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKANI",
        "first_name": "MALATHI",
        "middle_name": "L.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALATHI",
            "last_name": "PALLINANI",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Airy, MD

Sources for this page

Verify at the official NPI Registry.