UNKNOWN MALLIKARJUNAPPA MD
NPI 1093996233
Radiology - Diagnostic Radiology in Tamuning, GU
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Unknown Mallikarjunappa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dededo, GU 96929
- Reassigned Medicare billing, Guam enrollment
- 432 clinicians in this Medicare group
Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 7 clinicians in this Medicare group
Oka Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 320 clinicians in this Medicare group
Tamuning, GU 96913
- Reassigned Medicare billing, Guam enrollment
- 103 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, GUGuam Regional Medical City
Acute Care Hospitals · Dededo, GUPhysician 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Unknown Mallikarjunappa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Unknown Mallikarjunappa reassigns Medicare benefits to 4 organizations: Guam Healthcare Development Incorporated (Dededo, GU), Guam Medical Imaging Center LLC (Tamuning, GU), Guam Memorial Hospital (Oka Tamuning, GU) and Guam X-Ray (Tamuning, GU). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Unknown Mallikarjunappa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.