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MALLIKA THIRUPPATHI M.D.
NPI 1366604167
Internal Medicine - Endocrinology, Diabetes & Metabolism in Columbus, GA

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
1400 BRADLEY LAKE BLVD, COLUMBUS, GA 31904(334) 737-2737 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Jan 26, 2023 (2 updates tracked since 2023).

About Mallika Thiruppathi M.d. NPPES

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

MALLIKA THIRUPPATHI M.D. (NPI 1366604167) is an individual endocrinology, diabetes & metabolism provider in Columbus, Georgia, licensed in Georgia (58517) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1366604167
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMALLIKA THIRUPPATHICredential: M.D.
Location Address1400 BRADLEY LAKE BLVDColumbus, GA 31904-3688
Mailing Address100 Lakeridge CtColumbus, GA 31904-1800 · (706) 580-7071
Phone(334) 737-2737
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 2, 2008
Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1366604167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in GA · 58517✔ Licensed in GA · 058517
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 058517 (GA)
1400 BRADLEY LAKE BLVD, Columbus, GA 31904
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Mallika Thiruppathi 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 ID8820392335
PECOS Enrollment IDI20160929001198
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 7

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 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.
561 services254 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.
370 services208 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
360 services134 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
183 services117 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
40 services36 patients
Whole body composition tissue and fluid measurements with interpretation and report 0358T
This procedure measures different components of your body, including muscle, fat, and fluids. It helps to understand your body's overall health and nutritional status. The results are interpreted and compiled into a report for your understanding.
22 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers18 claims249 services$18.19 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers17 claims510 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers37 claims115 services$5.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims19 services$0.89 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
9 suppliers34 claims4,510 services$6.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers722 claims724 services$183.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

MS. SALLIE JEANETTE WACTER FNP-C
Nurse Practitioner (Family)
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Muscogee County (706) 256-2525
BALIGA FAMILY PRACTICE PC
Clinic/Center (Primary Care)
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Muscogee County (706) 593-7417
BANTWAL PRATHIBHA BALIGA MD,DGO
Family Medicine
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Muscogee County (706) 507-2050
MRS. KIMBERLY NICOLE EVANS FNP-BC
Nurse Practitioner (Family)
1400 BRADLEY LAKE BLVD
COLUMBUS, GA 31904
Muscogee County (706) 256-2525

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 Mallika Thiruppathi's NPI number?

The NPI number for Mallika Thiruppathi is 1366604167. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Mallika Thiruppathi located?

Mallika Thiruppathi practices at 1400 Bradley Lake Blvd, Columbus, GA 31904. The listed phone number is (334) 737-2737.

What is Mallika Thiruppathi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mallika Thiruppathi enrolled in Medicare?

Yes. Mallika Thiruppathi 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 Mallika Thiruppathi accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Mallika Thiruppathi 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.

Is Mallika Thiruppathi affiliated with any hospitals?

According to CMS data, Mallika Thiruppathi is affiliated with Piedmont Columbus Regional Midtown.

When was this NPI record last updated?

The NPPES record for Mallika Thiruppathi was last updated on August 21, 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.