DR. MALLAREDDY MADDULA (M.D.) – Nephrology Physician, NPI 1487762647
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for DR. MALLAREDDY MADDULA (M.D.)
1801, East March Lane, Akers, Stockton, San Joaquin County, California, 95210, United States
SUITE B265
STOCKTON, CA 952106629
Phone: (209) 546-1868
Fax: (209) 461-6505
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,190.
Total Amount is formed as General ($1,190) + Research ($0) + Ownership ($0) = $1,190.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($365).
Total Amount
$1,190
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090825000290 | I | Nephrology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,343 | 445 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 634 | 104 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 595 | 358 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 310 | 124 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 251 | 213 | $0 |
Insurance plans in this area (ZIP 95210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | CA | |
| N E P H R O L O G Y | NV | |
| N E P H R O L O G Y | CA | |
| Nephrology, Internal Medicine | CA | |
| Hospitalist, Nephrology | CA | |
| N E P H R O L O G Y | CA |
Reviews
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