ASHOK R MALLYA (MD) – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1104873116

Addiction Medicine (Psychiatry & Neurology) Physician

ASHOK R MALLYA (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in Addiction Medicine (Psychiatry & Neurology) Physician. They hold the professional credentials MD. They hold a License No. R6991 (MO). The NPI Number for ASHOK R MALLYA (MD) is 1104873116

Main info

Male

Name

ASHOK R MALLYA (MD)

NPI

1104873116

Phone

(314) 652-4100

Address

12515 WINDMOOR PL

Enumeration Date

27 May 2006

Last Update Date

8 July 2007

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ASHOK R MALLYA (MD)

12515, Windmoor Place, Town and Country, Saint Louis County, Missouri, 63131, United States
SAINT LOUIS, MO 631313019
Phone: (314) 652-4100
Type: Mailing
John Cochran Division - VA St. Louis Health Care System, 915, North Grand Boulevard, Covenant Blu Grand Center, City of Saint Louis, Missouri, 63106, United States
SAINT LOUIS, MO 631061621
Phone: (314) 652-4100
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63131)

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Reviews

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Frequently asked questions

How do payers reference ASHOK R MALLYA (MD)?

For ASHOK R MALLYA (MD), use NPI 1104873116 as the unique 10-digit identifier.

Is there an active status for ASHOK R MALLYA (MD)?

For scheduling context, ASHOK R MALLYA (MD) is shown as active in the registry.

What area of care is associated with ASHOK R MALLYA (MD)?

ASHOK R MALLYA (MD)'s record emphasizes Addiction Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.

Is ASHOK R MALLYA (MD) located near Saint Louis?

ASHOK R MALLYA (MD) currently maps to Saint Louis, Missouri in this extract.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.