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MALVIKA UPPAL M.D.
NPI 1023540697
Allergy & Immunology in Johns Creek, GA

Active since April 01, 2017PECOS EnrolledAccepts Medicare Assignment
6300 HOSPITAL PKWY STE 250, JOHNS CREEK, GA 30097(770) 495-6258(770) 495-8219 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2023, Jul 8, 2021, Aug 6, 2020 and 1 more (4 updates tracked since 2017).

About Malvika Uppal M.d. NPPES

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

MALVIKA UPPAL M.D. (NPI 1023540697) is an individual allergy & immunology provider in Johns Creek, Georgia, licensed in Georgia (85606) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Morehouse School Of Medicine (2017).

NPPES Registry Identity

NPI1023540697
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameMALVIKA UPPALCredential: M.D.
Location Address6300 HOSPITAL PKWY STE 250Johns Creek, GA 30097-2454
Mailing Address600 Professional Dr Ste 210Lawrenceville, GA 30046-7650 · (678) 457-9615
Phone(770) 495-6258
Fax(770) 495-8219
Sole ProprietorYes
Medical School CMSMorehouse School Of MedicineGraduated 2017
Enumeration DateApril 1, 2017
Last NPPES UpdateOctober 2, 20234 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1023540697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in GA · 85606
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedPediatricsTaxonomy 208000000X · License 85606 (GA), 325985 (LA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6300 HOSPITAL PKWY STE 250, Johns Creek, GA 30097
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Other Names 1

Former Name (1)Malvika Kapoor Md

Secondary Practice Locations 3

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 675-7625
Location 2601 Childrens LnNorfolk, VA 23507-1910 · Phone (757) 668-7249
Location 36330 Primrose Hill CtNorcross, GA 30092-4544 · Phone (770) 903-0130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Malvika Uppal M.d. 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 ID3779902762
PECOS Enrollment IDI20200924000723
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 6

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
888 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 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.
31 services24 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.
29 services24 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
21 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LINDA D GUYDON MD
Allergy & Immunology
6300 HOSPITAL PKWY STE 250
DULUTH, GA 30097
Gwinnett County (770) 953-3331

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 Malvika Uppal's NPI number?

The NPI number for Malvika Uppal is 1023540697. It was assigned to this individual provider in the NPPES registry on April 1, 2017. The provider is also known as Malvika Kapoor MD.

Where is Malvika Uppal located?

Malvika Uppal practices at 6300 Hospital Pkwy Ste 250, Johns Creek, GA 30097. The listed phone number is (770) 495-6258.

What is Malvika Uppal's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Malvika Uppal enrolled in Medicare?

Yes. Malvika Uppal 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.

What insurance does Malvika Uppal accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Malvika Uppal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malvika Uppal was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.