DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) – Hematology (Internal Medicine) Physician, NPI 1013268077

DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) is a healthcare provider. based in Albuquerque, New Mexico. specializing in MEDICAL ONCOLOGY, HEMATOLOGY. They hold the professional credentials MD, MPH. They hold a License No. MD2017-0778 (NM). The NPI Number for DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) is 1013268077

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH)
NPI
1013268077
Phone
(505) 923-6770
Address
PO BOX 26666
Enumeration Date
30 September 2012
Last Update Date
25 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8149380148
Graduation Year
2009 (17 years ago)
PAC ID
6709141666
Group Practice PAC ID
7012826753
Professional Enrollment ID
I20231220002600
Address ID
PA157672133PU205XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

23 MEDICAL ONCOLOGY in NM

Provider Addresses for DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH)

  • PO BOX 26666

    PHS PROVIDER ENROLLMENT

    ALBUQUERQUE, NM 871256666

    Phone: (505) 923-6770

    Fax: (505) 923-5354

    Type: Mailing

  • 8300 CONSTITUTION AVE NE

    ALBUQUERQUE, NM 871107613

    Phone: (505) 559-6100

    Type: Location

  • IRMC CANCER CENTER 850 HOSPITAL ROAD

    SUITE 1300

    INDIANA, PA 15701

    Phone: (724) 349-9444

    Type: Mailing

  • IRMC CANCER CENTER 850 HOSPITAL ROAD FIRST FLOOR

    SUITE 1300

    INDIANA, PA 15701

    Phone: (724) 349-9444

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $3,420.

Total Amount is formed as General ($3,420) + Research ($0) + Ownership ($0) = $3,420.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: BeiGene USA, Inc. ($2,250).

Total Amount

$3,420

General + Research + Ownership

Payments

29

Total payment records

General Amount

$3,420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

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: 2023-12-20

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
I20231220002600IMedical OncologyPATBD

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 minutes396123$0
99214Established patient office or other outpatient visit, 30-39 minutes285179$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5521$0
99205New patient office or other outpatient visit, 60-74 minutes3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2827$0
View full utilization report →

Insurance plans in this area (ZIP 87125)

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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: 7012826753View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
Family PracticePA
Family PracticePA
Orthopedic SurgeryMA
Family PracticePA
Physician AssistantPA
Family PracticePA
Orthopedic SurgeryPA
Family PracticePA
Family Practice, Emergency Medicine, Neurology, Pain ManagementPA

Reviews

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Frequently asked questions

Does DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) have a public NPI I can cite?
Public records show DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) under NPI 1013268077.
Quick check: is DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) active?
Public NPPES data shows DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) with an active NPI status right now.
Which specialty label fits DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH)?
NPPES ties DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) to Hematology (Internal Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH)?
DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH) shows a connection to Albuquerque, New Mexico in registry-derived data.
Why is information missing for DR. SHIVA KUMAR REDDY MUKKAMALLA (MD, MPH)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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