Vijayram Reddy Malladi

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD2023-1019 Issued in NM

Practice address

1600 N Main Ave
Lovington, NM 88260-2813

Phone

(917) 678-6062

NPI assigned

Jun 12, 2018

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Internal Medicine

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nor-Lea Hospital DistrictGroup PAC ID 2466364534, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excelacare Home Health Home health agency, Hobbs, NM, CCN 327100
• Elite Home Health, LLC Home health agency, Hobbs, NM, CCN 327198
• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Medicare reassignment Care Compare group NPD
• Nor-Lea Hospital District

  dba Family Health Center of Lea County

  • Rural Health Clinic/Center
  • Hobbs, NM
  • NPI 1528002805
  NPD
• Nor-Lea Hospital District

  dba Lovington Medical Clinic

  • Rural Health Clinic/Center
  • Lovington, NM
  • NPI 1457393829
  NPD (past)
• University of Kansas School of Medicine Wichita Medical Practice Assoc

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1639143712
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elite Home Health, LLC

  • Home Health Agency
  • Hobbs, NM
  • NPI 1497788111
  Care Compare affiliation
• New Mexico Healthcare Services LLC

  dba Excelacare Home Health

  • Home Health Agency
  • Hobbs, NM
  • NPI 1851613343
  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1649763822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602813",
            "telephone_number": "917-678-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLADI",
        "first_name": "VIJAYRAM REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2023-1019",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "94-09597",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovington Care Holdings LLC
• Lovington Healthcare LLC (Lovington Healthcare)
• Lovington Municipal Schools
• Rebecca Madrid
• Marco Maldonado
• Anibal Marquez-Chavez
• Gisela Marquez
• Jessica Alejandra Marquez
• Keysha Martin
• Betty Rose Masden, PA-C

• Internal Medicine Physician in Lovington, NM
• Providers in Lovington, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.