Active NPI
Preeti Malladi, M.D.
- Surgery Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- N3858
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206421401 | Medicaid | TX |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83258 | CA | MD | Surgery Physician |
| 036.120779 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malladi R. Sastry, MD, PA | Current | Accepting new patients | |
| Preeti Malladi, M.D. P.a. | Surgery | Current | 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
- 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.
-
dba Malladi Bariatrics and Advanced Surgery
- Surgery Physician
- Dallas, TX
- NPI 1740540905
-
- Pulmonary Disease Physician
- Plano, TX
- NPI 1164790150
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.