Individual provider Active NPI

Preeti Malladi, M.D.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1982873220
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N3858 Issued in TX
Practice address
221 W Colorado Blvd Ste 829
Dallas, TX 75208-2366
Phone
(214) 242-9737
Fax
(214) 242-9946
NPI assigned
Feb 20, 2008
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036.120779 IL
Surgery Physician 208600000X N3858 TX Primary
Surgery Physician 208600000X A83258 CA

Addresses

Primary practice location

221 W Colorado Blvd Ste 829
Dallas, TX 75208-2366

Mailing address

221 W Colorado Blvd Ste 829
Dallas, TX 75208-2366
Phone (214) 242-9737

Other practice location 1

4100 W 15th St Ste 216
Plano, TX 75093-5801
Phone (214) 242-9737

Other identifiers 1

IdentifierTypeStateIssuer
206421401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20091020000166 TX Practitioner - General Surgery 9931246287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

221 W Colorado Blvd
Pavilion II Suite 829
Dallas, TX 75208-2366
Phone (214) 242-9737

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83258CAMDSurgery Physician
036.120779ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malladi R. Sastry, MD, PA CurrentSince Jul 1, 2012 Accepting new patients
Preeti Malladi, M.D. P.a. Surgery CurrentSince May 25, 2012 Accepting new patients

Locations

221 W Colorado Blvd
Ste 532
Dallas, TX 75208
Phone (214) 943-8605

221 W Colorado Blvd
Ste 829
Dallas, TX 75208
Phone (214) 242-9737

4100 W 15th St
Ste 216
Plano, TX 75093
Phone (972) 596-2135

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEFACA/Endpoint/HEFACA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1982873220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 829",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082366",
            "telephone_number": "214-242-9737",
            "fax_number": "214-242-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 829",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082366",
            "telephone_number": "214-242-9737",
            "fax_number": "214-242-9946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 W 15th St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935801",
            "country_code": "US",
            "telephone_number": "214-242-9737",
            "fax_number": "214-242-9946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLADI",
        "first_name": "PREETI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.120779",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N3858",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A83258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206421401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.