DR. SHIVA KUMAR REDDY MUKKAMALLA MD, MPH
NPI 1013268077
Internal Medicine - Hematology in Indiana, PA

Active since September 30, 2012PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
IRMC CANCER CENTER 850 HOSPITAL ROAD FIRST FLOOR, SUITE 1300, INDIANA, PA 15701(724) 349-9444 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Shiva Kumar Reddy Mukkamalla Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIVA KUMAR REDDY MUKKAMALLA MD, MPH (NPI 1013268077) is an individual hematology provider in Indiana, Pennsylvania, licensed in New Mexico (MD2017-0778) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1013268077
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. SHIVA KUMAR REDDY MUKKAMALLACredential: MD, MPH
Location AddressIRMC CANCER CENTER 850 HOSPITAL ROAD FIRST FLOOR, SUITE 1300Indiana, PA 15701
Mailing AddressIrmc Cancer Center 850 Hospital Road, Suite 1300Indiana, PA 15701 · (724) 349-9444
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 30, 2012
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedFebruary 7, 2024
NPI 1013268077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in NM · MD2017-0778
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
IRMC CANCER CENTER 850 HOSPITAL ROAD FIRST FLOOR, Indiana, PA 15701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shiva Kumar Reddy Mukkamalla Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709141666
PECOS Enrollment IDI20231220002600
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
256 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services122 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
80 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA
OwnershipProprietary
CMS Certification Number391317
Location290 Haida AvenueHastings, PA 16646 · Cambria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shiva Kumar Mukkamalla's NPI number?

The NPI number for Shiva Kumar Mukkamalla is 1013268077. It was assigned to this individual provider in the NPPES registry on September 30, 2012.

Where is Shiva Kumar Mukkamalla located?

Shiva Kumar Mukkamalla practices at Irmc Cancer Center 850 Hospital Road First Floor Suite 1300, Indiana, PA 15701. The listed phone number is (724) 349-9444.

What is Shiva Kumar Mukkamalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Shiva Kumar Mukkamalla enrolled in Medicare?

Yes. Shiva Kumar Mukkamalla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shiva Kumar Mukkamalla affiliated with any hospitals?

According to CMS data, Shiva Kumar Mukkamalla is affiliated with Penn Highlands Dubois, Indiana Regional Medical Center, Punxsutawney Area Hospital, Excela Health Latrobe Hospital and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Shiva Kumar Mukkamalla was last updated on March 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.