DR. MALLEESWARI NELLORE (M.D.) – Neurology Physician, NPI 1174651848

DR. MALLEESWARI NELLORE (M.D.) is a healthcare provider. based in Great falls, Virginia. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 0101268824 (VA). The NPI Number for DR. MALLEESWARI NELLORE (M.D.) is 1174651848

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MALLEESWARI NELLORE (M.D.)
NPI
1174651848
Phone
(888) 464-2466
Address
11608 BROCKMAN LN
Enumeration Date
2 March 2007
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884642466
Graduation Year
1997 (29 years ago)
PAC ID
1658524038
Group Practice PAC ID
8022019710
Professional Enrollment ID
I20200423000414
Address ID
DC200111428WA6314XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

706 NEUROLOGY in VA

Provider Addresses for DR. MALLEESWARI NELLORE (M.D.)

  • 11608 BROCKMAN LN

    GREAT FALLS, VA 220661138

    Phone: (888) 464-2466

    Mailing address matches the actual address.

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: 2020-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130115000266INeurologyKYTBD
I20200423000414INeurologyDCTBD
I20200522000977INeurologyVATBD

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
G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)556207$0
95938Placement of skin electrodes and measurement of stimulated sites on arms and legs431429$0
95861Needle measurement of electrical activity in arm or leg muscles, 2 extremities302300$0
95870Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study224114$0
95939Placement of skin electrodes and measurement of central motor stimulation in arms and legs209207$0
View full utilization report →

Insurance plans in this area (ZIP 22066)

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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: 8022019710View full group profile
NameSpecialtyState
N E U R O L O G YOH
N E U R O L O G YNV
-WA
N E U R O L O G YNY
N E U R O L O G YTN
N E U R O L O G YAZ
N E U R O L O G YFL
N E U R O L O G YMI
N E U R O L O G YWA
N E U R O L O G YMD

Reviews

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Frequently asked questions

Can I cross-check DR. MALLEESWARI NELLORE (M.D.) using NPI 1174651848?
NPI 1174651848 belongs to DR. MALLEESWARI NELLORE (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. MALLEESWARI NELLORE (M.D.)?
You should see DR. MALLEESWARI NELLORE (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with DR. MALLEESWARI NELLORE (M.D.)?
DR. MALLEESWARI NELLORE (M.D.)'s record emphasizes Neurology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MALLEESWARI NELLORE (M.D.) associated with Great Falls?
Public fields place DR. MALLEESWARI NELLORE (M.D.) around Great Falls, Virginia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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