MALLU C REDDY (MD) – Internal Medicine Physician, NPI 1942278221

MALLU C REDDY (MD) is a healthcare provider. based in Pomona, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A62958 (CA). The NPI Number for MALLU C REDDY (MD) is 1942278221

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MALLU C REDDY (MD)
NPI
1942278221
Phone
(909) 623-4050
Address
1196 N PARK AVE
Enumeration Date
10 March 2006
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
9096234050
Graduation Year
1991 (35 years ago)
PAC ID
7517940273
Professional Enrollment ID
I20040615001841
Address ID
CA917683027PO1196XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for MALLU C REDDY (MD)

  • 1196, North Park Avenue, Edison Historic District, Pomona, Los Angeles County, California, 91768, United States

    POMONA, CA 917683027

    Phone: (909) 623-4050

    Fax: (909) 620-5259

    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 181 Open Payments records for all available years, with a total value of $6,034.

Total Amount is formed as General ($6,034) + Research ($0) + Ownership ($0) = $6,034.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($1,538).

Total Amount

$6,034

General + Research + Ownership

Payments

181

Total payment records

General Amount

$6,034

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040615001841IInternal MedicineCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes554198$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes32433$0
99214Established patient office or other outpatient visit, 30-39 minutes257152$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes17734$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days15535$0
View full utilization report →

Insurance plans in this area (ZIP 91768)

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Provider's Procedures

MALLU C REDDY (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECA81002Urinalysis, manual test5238

Reviews

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Frequently asked questions

What unique ID ties claims to MALLU C REDDY (MD)?
NPI 1942278221 is assigned to MALLU C REDDY (MD) under the national enumeration system.
Is MALLU C REDDY (MD)'s NPI currently valid?
The extract we use shows MALLU C REDDY (MD) as active.
Can you summarize MALLU C REDDY (MD)'s specialty in plain language?
Clinically, the directory lists MALLU C REDDY (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MALLU C REDDY (MD) practice in California?
You will see Pomona, California on file for MALLU C REDDY (MD) alongside any extra practice locations.
Is MALLU C REDDY (MD) a real provider?
This page reflects official NPPES data for NPI 1942278221. Always confirm identity and privileges with the practice and licensing boards.

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