SAMYUKTA MALLADI (DO) – Anesthesiology Physician, NPI 1730603630

SAMYUKTA MALLADI (DO) is a healthcare provider. based in Hartford, Connecticut. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 288350 (MA). The NPI Number for SAMYUKTA MALLADI (DO) is 1730603630

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMYUKTA MALLADI (DO)
NPI
1730603630
Phone
(847) 208-5800
Address
221 TRUMBULL ST APT 3001
Enumeration Date
1 August 2017
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
7086813200
Graduation Year
2017 (9 years ago)
PAC ID
0244580686
Group Practice PAC ID
3476979683
Professional Enrollment ID
I20231102002234
Address ID
IL601601612ME701XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for SAMYUKTA MALLADI (DO)

  • 221 TRUMBULL ST APT 3001

    HARTFORD, CT 061031528

    Phone: (847) 208-5800

    Type: Mailing

  • 759 CHESTNUT ST

    SPRINGFIELD, MA 011991500

    Phone: (413) 794-0000

    Type: Location

  • 1 MEDICAL CENTER DR STE 162

    STRATFORD, NJ 080841500

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-02

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
I20231102002234IAnesthesiologyILTBD

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
01402Anesthesia for procedure for total knee joint replacement2323$0
00142Anesthesia for lens surgery2222$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1919$0
00400Anesthesia for other procedure on skin of arms, legs, and front body1818$0
01214Anesthesia for total hip replacement1414$0
View full utilization report →

Insurance plans in this area (ZIP 06103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476979683View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YIL
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Where can patients find SAMYUKTA MALLADI (DO)'s NPI?
You can confirm SAMYUKTA MALLADI (DO) with NPI 1730603630; it appears in the national provider directory.
Is SAMYUKTA MALLADI (DO) currently active in the NPI registry?
CMS-published data lists SAMYUKTA MALLADI (DO) as an active registrant.
What field does SAMYUKTA MALLADI (DO) work in?
You can think of SAMYUKTA MALLADI (DO) as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does SAMYUKTA MALLADI (DO) practice in Connecticut?
You will see Hartford, Connecticut on file for SAMYUKTA MALLADI (DO) alongside any extra practice locations.
What if Hartford, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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