KISHORE REDDY RASAMALLU (MD) – Internal Medicine Physician, NPI 1568667863

KISHORE REDDY RASAMALLU (MD) is a healthcare provider. based in Cumming, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD432046 (PA). The NPI Number for KISHORE REDDY RASAMALLU (MD) is 1568667863

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KISHORE REDDY RASAMALLU (MD)
NPI
1568667863
Phone
(210) 379-8553
Address
1165 Sanders Rd
Enumeration Date
18 June 2007
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2103798553
Graduation Year
1997 (29 years ago)
PAC ID
1254427388
Group Practice PAC ID
2769883842
Professional Enrollment ID
I20190313003055
Address ID
GA300091526AL12895CTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:18State licenses:3Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for KISHORE REDDY RASAMALLU (MD)

  • 1165 Sanders Rd

    Cumming, GA 300415965

    Phone: (210) 379-8553

    Type: Location

  • 1968 Peachtree Rd NW Fl 6

    Atlanta, GA 303091281

    Phone: (210) 379-8553

    Type: Location

  • 704, Breedlove Drive, Monroe, Walton County, Georgia, 30655, United States

    STE A

    MONROE, GA 306552054

    Phone: (512) 730-3060

    Fax: (888) 730-1925

    Type: Mailing

  • Shinto Shrine, 400, Rosalind Redfern Grover Parkway, Westover Place, Midland, Midland County, Texas, 79701, United States

    MIDLAND, TX 797015846

    Phone: (512) 730-3060

    Fax: (888) 730-1925

    Type: Location

  • 12895 KEYSTONE CT

    ALPHARETTA, GA 300091526

    Phone: (210) 379-8553

    Fax: (910) 900-1239

    Type: Location

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: 2019-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080619000437IInternal MedicineTXTBD
I20190313003055IInternal MedicineGATBD

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
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th11,189729$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6,704647$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes661602$0
99239Hospital discharge day management, more than 30 minutes400369$0
99497Advance care planning, first 30 minutes262142$0
View full utilization report →

Insurance plans in this area (ZIP 30041)

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Provider's Procedures

KISHORE REDDY RASAMALLU (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1111

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: 2769883842View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA

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Frequently asked questions

Can I use this page to confirm KISHORE REDDY RASAMALLU (MD)'s NPI?
Yes. KISHORE REDDY RASAMALLU (MD) is listed with NPI 1568667863 in the public NPI dataset.
Can I rely on KISHORE REDDY RASAMALLU (MD) being an active provider?
As of the registry snapshot, KISHORE REDDY RASAMALLU (MD) is marked active.
What taxonomy line describes KISHORE REDDY RASAMALLU (MD)?
For research purposes, treat KISHORE REDDY RASAMALLU (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is KISHORE REDDY RASAMALLU (MD) based?
KISHORE REDDY RASAMALLU (MD) is tied to Cumming, Georgia in the data we show; additional addresses may exist on the full record.
Why does KISHORE REDDY RASAMALLU (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.