UNKNOWN MALLIKARJUNAPPA MD
NPI 1093996233
Radiology - Diagnostic Radiology in Tamuning, GU

Active since November 15, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
633 GOV CARLOS CAMACHO ROAD SUITE 210, TAMUNING, GU 96913(671) 649-1001 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Unknown Mallikarjunappa Md NPPES

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

UNKNOWN MALLIKARJUNAPPA MD (NPI 1093996233) is an individual diagnostic radiology provider in Tamuning, Guam, licensed in Guam (M-1858) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Guam Memorial Hospital Authority, and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1093996233
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameUNKNOWN MALLIKARJUNAPPACredential: MD
Location Address633 GOV CARLOS CAMACHO ROAD SUITE 210Tamuning, GU 96913
Mailing Address633 Gov Carlos Camacho Road Suite 210Tamuning, GU 96913 · (671) 649-1001
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 15, 2007
Last NPPES UpdateNovember 19, 2019
NPI 1093996233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GU · M-1858
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Other Names 1

Other Name (5)Mallikarjunappa Mk Md

Secondary Practice Location 1

Location 19200 WEST WISCONSIN AVENUE, FROEDTERT MEMORIAL LUTHERAN HOSPITALMILWAUKEE, WI 53226 · Phone (414) 805-3122

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

Unknown Mallikarjunappa Md 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 ID9436376571
PECOS Enrollment IDI20140813000669
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 23

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
6,470 services59 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
3,030 services21 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
134 services119 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
101 services92 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
55 services54 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Guam Memorial Hospital Authority

Acute Care Hospitals · Tamuning, GU
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number650001
Location85O Gov Carlos G Camacho RoadTamuning, GU 96913 · Guam County
Emergency services

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96913 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.62
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES

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

Radiology (Diagnostic Radiology)
633 GOV CARLOS CAMACHO ROAD SUITE 210
TAMUNING, GU 96913

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 Unknown Mallikarjunappa's NPI number?

The NPI number for Unknown Mallikarjunappa is 1093996233. It was assigned to this individual provider in the NPPES registry on November 15, 2007. The provider is also known as Mallikarjunappa Mk MD.

Where is Unknown Mallikarjunappa located?

Unknown Mallikarjunappa practices at 633 Gov Carlos Camacho Road Suite 210, Tamuning, GU 96913. The listed phone number is (671) 649-1001.

What is Unknown Mallikarjunappa's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Unknown Mallikarjunappa enrolled in Medicare?

Yes. Unknown Mallikarjunappa 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 Unknown Mallikarjunappa affiliated with any hospitals?

According to CMS data, Unknown Mallikarjunappa is affiliated with Guam Memorial Hospital Authority and Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Unknown Mallikarjunappa was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.