Mallu C Reddy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A62958 Issued in CA

Practice address

1196 N Park Ave
Pomona, CA 91768-3027

Phone

(909) 623-4050

Fax

(909) 620-5259

NPI assigned

Mar 10, 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 CA

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

Un of California, Irvine, College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Multi-Skilled Home Care Services, Inc Home health agency, Walnut, CA, CCN 058198
• Valiant Home Health Care Inc Home health agency, Arcadia, CA, CCN 757520
• Brio Home Health Services, Inc Home health agency, Chino, CA, CCN 059020
• Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
• Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
• Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
• Emanate Health Inter-Community Hospital- D/P SNF Nursing home, Covina, CA, CCN 555610

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (9 of 10)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Mallu Reddy, M.D. Inc.

  • Internal Medicine Physician
  • Pomona, CA
  • NPI 1184821340

  CA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Southern California Hospitalist Network Medical Group Inc

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1790880458

  CA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Chaparral Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1477733624

  CA

  Medicare reassignment NPD
• Mallu Reddy MD Inc

  • Urgent Care Clinic/Center
  • Pomona, CA
  • NPI 1902111834

  Internal Medicine

  NPD Authorized official
• Omnicore Health Services, Inc

  • Psychiatry Physician
  • Claremont, CA
  • NPI 1275318818

  Internal Medicine

  NPD Authorized official
• Chaparral Medical Group Inc

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1528020112

  Internal Medicine

  NPD
• Chaparral Medical Group Inc.

  • Cardiovascular Disease Physician
  • Upland, CA
  • NPI 1639869605
  NPD
• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  NPD (past)
• Mallu Reddy, MD, Inc

  • Internal Medicine Physician
  • Colton, CA
  • NPI 1447644182

  Internal Medicine

  NPD (past)

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

• Brio Home Health Services, Inc.

  • Home Health Agency
  • Chino, CA
  • NPI 1760427439
  Care Compare affiliation
• Emanate Health Foothill Presbyterian Hospital

  • General Acute Care Hospital
  • Glendora, CA
  • NPI 1992733513

  Hospital

  Care Compare affiliation
• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293

  Hospital

  Care Compare affiliation
• Emanate Health Medical Center

  • Psychiatric Hospital Unit
  • Covina, CA
  • NPI 1215063151

  Hospital

  Care Compare affiliation
• Emanate Health Medical Center

  • Skilled Nursing Facility
  • Covina, CA
  • NPI 1629009097

  Nursing home

  Care Compare affiliation
• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440

  Hospital

  Care Compare affiliation
• Multi-Skilled Home Care Services, Inc.

  • Home Health Agency
  • Walnut, CA
  • NPI 1609863547
  Care Compare affiliation
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1407813660

  Hospital

  Care Compare affiliation
• Valiant Home Health Care Inc

  • Home Health Agency
  • Temple City, CA
  • NPI 1043896111
  Care Compare affiliation

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1942278221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683027",
            "telephone_number": "909-623-4050",
            "fax_number": "909-620-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683027",
            "telephone_number": "909-623-4050",
            "fax_number": "909-620-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "MALLU",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A629580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebeca Rebollar
• Patrick Recendez
• Recovery Treatment Center
• David Leroy Redding, DO
• Jayapal Aragonda Reddy
• Meghana Reddy
• Maria Redinger
• Alexander Joon Ree
• Alissa Reed
• Raymond D Reed III

• All providers in Pomona, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.