PRIYA MALLIKARJUNA MD, MA
NPI 1053975250
Pediatrics - Pediatric Infectious Diseases in Flushing, NY

Q: What is Priya Mallikarjuna's NPI number?

The NPI number for Priya Mallikarjuna is 1053975250. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Priya Mallikarjuna's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Active since April 24, 2019PECOS Enrolled

4500 PARSONS BLVD, PEDIATRICS DEPARTMENT ROOM 410 1982 BUILDING, FLUSHING, NY 11355(516) 972-8109 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Apr 24, 2019 (2 updates tracked since 2019).

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About Priya Mallikarjuna Md, Ma NPPES

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

PRIYA MALLIKARJUNA MD, MA (NPI 1053975250) is an individual pediatric infectious diseases provider in Flushing, New York, licensed in New York (318067) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053975250

Entity TypeIndividualFemale

Primary Taxonomy2080P0208X

Provider Legal NamePRIYA MALLIKARJUNACredential: MD, MA

Location Address4500 PARSONS BLVD, PEDIATRICS DEPARTMENT ROOM 410 1982 BUILDINGFlushing, NY 11355

Mailing Address2 Bel Air CtOyster Bay, NY 11771-4409 · (516) 972-8109

Phone(516) 972-8109

Sole ProprietorYes

Enumeration DateApril 24, 2019

Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1053975250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

License✔ Licensed in NY · 318067

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

4500 PARSONS BLVD, Flushing, NY 11355

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Mallikarjuna Md, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Priya Mallikarjuna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University

1,045 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
7,712 clinicians in this Medicare group

NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

FAZLA RABBY MD

Student in an Organized Health Care Education/Training Program