AJAYCHANDRA REDDY MALLADI (M.D) – Internal Medicine Physician, NPI 1114379534

AJAYCHANDRA REDDY MALLADI (M.D) is a healthcare provider. based in Dodge city, Kansas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 4301109524 (MI). The NPI Number for AJAYCHANDRA REDDY MALLADI (M.D) is 1114379534

Main info

Male
Sole Proprietor
14 Years Of Experience
Name
AJAYCHANDRA REDDY MALLADI (M.D)
NPI
1114379534
Phone
(620) 371-7010
Address
2300 N 14th Ave Ste 104
Enumeration Date
9 July 2016
Last Update Date
19 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
3678850336
Professional Enrollment ID
I20260130002790
Address ID
NC274011229GR300XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:9State licenses:3Digital endpointsOther names

1,289 INTERNAL MEDICINE in KS

Provider Addresses for AJAYCHANDRA REDDY MALLADI (M.D)

  • 2300 N 14th Ave Ste 104

    Dodge City, KS 678012367

    Phone: (620) 371-7010

    Type: Location

  • 44405 Woodward Ave

    H-23

    Pontiac, MI 483415023

    Phone: (248) 858-6233

    Fax: (248) 858-3244

    Type: Location

  • 1409 UNIVERSITY DR STE 105

    BURLINGTON, NC 272158787

    Phone: (336) 584-5659

    Fax: (336) 584-4072

    Type: Mailing

  • Saint Joseph Mercy Oakland, 44405, Woodward Avenue, Pontiac, Oakland County, Michigan, 48341, United States

    H-23

    PONTIAC, MI 483415023

    Phone: (248) 858-6233

    Fax: (248) 858-3244

    Type: Location

  • 2300 N 14TH AVE STE 104

    DODGE CITY, KS 678012367

    Phone: (620) 371-7010

    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: 2026-01-30

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
I20191107000857IInternal MedicineKSTBD
I20260130002790IInternal MedicineNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes319168$0
99213Established patient office or other outpatient visit, 20-29 minutes305164$0
36415Insertion of needle into vein for collection of blood sample13593$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
G0008Administration of influenza virus vaccine2323$0
View full utilization report →

Insurance plans in this area (ZIP 67801)

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Reviews

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Frequently asked questions

What number should I use to identify AJAYCHANDRA REDDY MALLADI (M.D) for billing?
Administrative and clinical systems typically use NPI 1114379534 for AJAYCHANDRA REDDY MALLADI (M.D).
Is AJAYCHANDRA REDDY MALLADI (M.D) currently accepting referrals based on NPI status?
Registry metadata lists AJAYCHANDRA REDDY MALLADI (M.D) as active.
What type of care does AJAYCHANDRA REDDY MALLADI (M.D) provide?
AJAYCHANDRA REDDY MALLADI (M.D)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is AJAYCHANDRA REDDY MALLADI (M.D) tied to Dodge City, Kansas?
If you are local to Dodge City, Kansas, AJAYCHANDRA REDDY MALLADI (M.D) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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