Vishwanth Reddy Mallipeddi, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.33273 Issued in AL

Practice address

3719 Dauphin St
Mobile, AL 36608-1753

Phone

(251) 545-4579

Fax

(251) 287-1466

NPI assigned

Oct 28, 2008

Last updated

Sep 25, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Transitional Care LLCGroup PAC ID 6709146285, 14 clinicians

Imc-Hospitalists LLCGroup PAC ID 2264727155, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southerncare Greenville Hospice, Greenville, AL, CCN 011655
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090
• Infirmary LTAC Hospital Long-term care hospital, Mobile, AL, CCN 012006

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.

• Imc-Hospitalists LLC

  • Hospitalist Physician
  • Mobile, AL
  • NPI 1669824934
  Medicare reassignment Care Compare group NPD
• Transitional Care LLC

  • Nurse Practitioner
  • Mobile, AL
  • NPI 1891218194
  Medicare reassignment Care Compare group NPD
• Inpatient Consultants of Alabama, Inc

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1235238916
  Medicare reassignment NPD
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  NPD (past)

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

• Infirmary Health Hospitals, Inc.

  dba Infirmary LTAC Hospital

  • Long Term Care Hospital
  • Mobile, AL
  • NPI 1437160157

  Long-term care hospital

  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• Southerncare, Inc.

  dba SouthernCare Greenville

  • Community Based Hospice Care Agency
  • Greenville, AL
  • NPI 1639112410
  Care Compare affiliation
• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1790938363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "BUILDING B, SUITE 118",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-545-4579",
            "fax_number": "251-287-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-545-4579",
            "fax_number": "251-287-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIPEDDI",
        "first_name": "VISHWANTH REDDY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.33273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oyeniyi Ibrahim Makanjuola, MD
• Akiko Ishida Makino, CRNP
• Zachary Maliniemi
• Jonathan Mallard
• Siedyria Mallard
• Kirsten Leigh Mallon, LPTA
• Kelye Mallonee, M.S., CCC-SLP
• Aysia Malone
• Jenna Malone
• Jessica Malone

• Family Medicine Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.