DR. MALATHI TADAKAMALLA (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1316989197

DR. MALATHI TADAKAMALLA (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in GERIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2009003023 (MO). The NPI Number for DR. MALATHI TADAKAMALLA (M.D.) is 1316989197

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALATHI TADAKAMALLA (M.D.)
NPI
1316989197
Phone
(913) 226-7332
Address
PO BOX 219209
Enumeration Date
13 June 2006
Last Update Date
14 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8167517832
Graduation Year
1996 (30 years ago)
PAC ID
4880730688
Group Practice PAC ID
0143116368
Professional Enrollment ID
I20100923000629
Address ID
MO641083403KA3011XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

107 GERIATRIC MEDICINE in MO

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Provider Addresses for DR. MALATHI TADAKAMALLA (M.D.)

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641219209

    Phone: (913) 226-7332

    Fax: (913) 674-5563

    Type: Mailing

  • 600, Northeast Meadowview Drive, Lee's Summit, Jackson County, Missouri, 64064, United States

    LEES SUMMIT, MO 640641983

    Phone: (913) 226-7332

    Fax: (913) 674-5563

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-02-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($27).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-23

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
I20091008000387IGeriatric MedicineMOTBD
I20100923000629IGeriatric MedicineKSTBD

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
99497Advance care planning, first 30 minutes504446$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes457251$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes369158$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes252234$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes246225$0
View full utilization report →

Insurance plans in this area (ZIP 64121)

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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: 0143116368View full group profile
NameSpecialtyState
Family Practice, Internal MedicineKS
Family PracticeKS
Clinical PsychologistMO
Physical Medicine And RehabilitationNE
Internal Medicine, Pediatric MedicineKS
Internal MedicineMO
Family PracticeMO
Clinical PsychologistMO
Emergency Medicine, Family Practice, Sports MedicineMO
Family PracticeMO

Reviews

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Frequently asked questions

Is DR. MALATHI TADAKAMALLA (M.D.) listed with a National Provider Identifier?
Yes — DR. MALATHI TADAKAMALLA (M.D.) has NPI 1316989197 on file in the registry.
Would DR. MALATHI TADAKAMALLA (M.D.) appear as active to a payer?
You can treat DR. MALATHI TADAKAMALLA (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. MALATHI TADAKAMALLA (M.D.)?
At a glance, DR. MALATHI TADAKAMALLA (M.D.) is tied to Geriatric Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. MALATHI TADAKAMALLA (M.D.) registered?
Use Kansas City, Missouri as the headline location for DR. MALATHI TADAKAMALLA (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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