Kavithamani Mallan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011822 Issued in NC

Practice address

3500 N Roxboro St Ste 1B
Durham, NC 27704-2985

Phone

(919) 578-3974

Fax

(877) 723-2970

NPI assigned

Apr 5, 2019

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centerwell Senior Primary Care NC JV PCGroup PAC ID 0345614384, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duke Regional Hospital Hospital, Durham, NC, CCN 340155

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kavithamani.mallan.1@29601.direct.athenahealth.com
• Direct secure messaging: kavithamani.mallan@centerwell.eclinicaldirectplus.com

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.

• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care-University City

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1366181943
  Medicare reassignment Care Compare group NPD
• B & D Integrated Health Services

  • Family Medicine Physician
  • Durham, NC
  • NPI 1215022926
  Medicare reassignment NPD
• Centerwell Senior Primary Care (NC) PC

  dba CenterWell Senior Primary Care-Gastonia

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1073034625
  Medicare reassignment NPD
• B & D Integrated Health Services

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1689029605
  NPD
• Centerwell Senior Primary Care (NC) JV, P.C.

  dba CenterWell Senior Primary Care (NC) JV, P.C. - Sheffield Park

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1477373991
  NPD
• Centerwell Senior Primary Care (NC), P.C.

  dba CenterWell Senior Primary Care (NC), P.C. - Burlington

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1497575997
  NPD
• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care-Roxboro

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1114623386
  NPD
• Centerwell Senior Primary Care NC JV PC

  dba CenterWell Senior Primary Care- Wilkinson

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1831836758
  NPD (past)

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

• Duke University Health System Inc

  dba Durham Regional Hospital

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1689656480

  Hospital

  Care Compare affiliation
• Duke University Health System, Inc.

  dba Durham Regional Hospital

  • General Acute Care Hospital
  • Durham, NC
  • NPI 1871592113
  Care Compare affiliation

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1891257903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ROXBORO ST STE 1B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042985",
            "telephone_number": "919-578-3974",
            "fax_number": "877-723-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROXBORO ST STE 1B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042985",
            "telephone_number": "919-578-3974",
            "fax_number": "877-723-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAN",
        "first_name": "KAVITHAMANI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kavithamani.mallan.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "kavithamani.mallan.1@29601.direct.athenahealth.com",
            "address_1": "3500 N Roxboro St Ste 1B",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277042985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Vinson Malinosky, LCSWA
• Ian Jacob Malinow
• Elizabeth Burney Malinzak, M.D.
• Michael David Malinzak, MD
• Anna Mall
• Daria C Mallard
• Ravi Kiran Mallavarapu, MD
• Paul Cody Malley, PA
• A. K. Bobby Mallik, DMD
• William James Mallon, M.D.

• Family Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.