Mallikarjuna R Kamireddy, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME44270 Issued in FL

Practice address

8200 Jog Rd
Suite 204
Boynton Beach, FL 33472-2981

Phone

(561) 496-3484

Fax

(561) 740-4763

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Delray Ekg Readers LLC

  • Cardiovascular Disease Physician
  • Delray Beach, FL
  • NPI 1386656304
  Medicare reassignment NPD
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467

  Cardiovascular Disease

  Medicare reassignment NPD
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1699797472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 JOG RD",
            "address_2": "SUITE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-496-3484",
            "fax_number": "561-740-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 JOG RD",
            "address_2": "SUITE 204",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722981",
            "telephone_number": "561-496-3484",
            "fax_number": "561-740-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMIREDDY",
        "first_name": "MALLIKARJUNA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME44270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000735600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas George Kaleel, D.M.D.
• Ansuya L Kalra, M.D.
• Annamaria V Kamaratos
• George Nabil Kamel, M.D.
• Seth Kaminsky, LCSW
• Nathan Scott Kaner, D.C.
• Cygethia Gayle Kankam, M.D
• Jenna Kaplan, M.S. SLP-CCC
• Robert David Kaplan, M.D.
• Maxine Karas, SPEC. ED. TEACHER

• Cardiovascular Disease Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.