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RAHUL R MALIREDDY MD
NPI 1376988055
Internal Medicine in Atlanta, GA

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
245 N HIGHLAND AVE NE, ATLANTA, GA 30307(408) 836-3164(404) 745-8385 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2024, Aug 15, 2024, Aug 16, 2019 and 1 more (4 updates tracked since 2016).

About Rahul R Malireddy Md NPPES

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

RAHUL R MALIREDDY MD (NPI 1376988055) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (76174) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1376988055
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAHUL R MALIREDDYCredential: MD
Location Address245 N HIGHLAND AVE NEAtlanta, GA 30307-1936
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(408) 836-3164
Fax(404) 745-8385
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1376988055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 76174
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A143615 (CA)
245 N HIGHLAND AVE NE, Atlanta, GA 30307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Rahul R Malireddy 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 ID8022304310
PECOS Enrollment IDI20220303001438, I20240829002372
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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
219 services205 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
119 services55 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
113 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services22 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Box Butte General Hospital

Critical Access Hospitals · Alliance, NE
OwnershipGovernment - Local
CMS Certification Number281360
LocationP O Box 810, 2101 Box Butte AveAlliance, NE 69301 · Box Butte County
Emergency services

Community Hospital

Critical Access Hospitals · Torrington, WY
OwnershipVoluntary non-profit - Private
CMS Certification Number531307
Location2000 Campbell DriveTorrington, WY 82240 · Goshen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30307 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%28 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

VANESSA WILKINSON L.P.C, N.C.C, D.C.C
Counselor (Professional)
245 N HIGHLAND AVE NE, STE 230-207
ATLANTA, GA 30307
Fulton County (678) 876-4690
LABLADIES, LLC
Technician, Pathology (Phlebotomy)
245 N HIGHLAND AVE NE, STE 230-265
ATLANTA, GA 30307
Fulton County (470) 819-7116
SONGBIRD HEALTH GA LLC
Behavior Analyst
245 N HIGHLAND AVE NE
ATLANTA, GA 30307
Fulton County (678) 813-2624
ERIN CAKOUROS
Counselor (Mental Health)
245 N HIGHLAND AVE NE, STE230 #871
ATLANTA, GA 30307
Fulton County (323) 763-0306
WALTER L. LEEKS, III DMD, P.C.
Dentist (General Practice)
245 N HIGHLAND AVE NE, SUITE 260
ATLANTA, GA 30307
Fulton County (404) 589-7799
JENNIFER FREEDMAN ROTHSCHILD
Behavior Analyst
245 N HIGHLAND AVE NE
ATLANTA, GA 30307
Fulton County (804) 215-5600
DR. ALEX JAMES RODRIGUEZ D.M.D.
Dentist (General Practice)
245 N HIGHLAND AVE NE, SUITE 260
ATLANTA, GA 30307
Fulton County (404) 589-7799
AMANDA L VORKO PA-C
Physician Assistant
245 N HIGHLAND AVE NE
ATLANTA, GA 30307
Fulton County (423) 269-2973

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 Rahul Malireddy's NPI number?

The NPI number for Rahul Malireddy is 1376988055. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Rahul Malireddy located?

Rahul Malireddy practices at 245 N Highland Ave NE, Atlanta, GA 30307. The listed phone number is (408) 836-3164.

What is Rahul Malireddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rahul Malireddy enrolled in Medicare?

Yes. Rahul Malireddy 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 Rahul Malireddy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Rahul Malireddy 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 Rahul Malireddy affiliated with any hospitals?

According to CMS data, Rahul Malireddy is affiliated with Regional West Medical Center, Box Butte General Hospital and Community Hospital.

When was this NPI record last updated?

The NPPES record for Rahul Malireddy was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.