DR. KIRAN MALLULA M.D.
NPI 1396944823
Pediatrics - Pediatric Cardiology in Houston, TX

Active since July 14, 2007PECOS EnrolledAccepts Medicare Assignment
6411 FANNIN ST DEPT OF, HOUSTON, TX 77030(832) 914-2047 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kiran Mallula M.d. NPPES

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

DR. KIRAN MALLULA M.D. (NPI 1396944823) is an individual pediatric cardiology provider in Houston, Texas, licensed in Texas (T0281) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1396944823
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. KIRAN MALLULACredential: M.D.
Location Address6411 FANNIN ST DEPT OFHouston, TX 77030-1501
Mailing Address6411 Fannin St Dept OfHouston, TX 77030-1501 · (832) 914-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 14, 2007
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1396944823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in TX · T0281✔ Licensed in IL · 036125228✔ Licensed in LA · MD.206979
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License T0281 (TX)
Also ListedPediatricsTaxonomy 208000000X · License MT190224 (PA)
6411 FANNIN ST DEPT OF, Houston, TX 77030

Secondary Practice Location 1

Location 11515 Holcombe BlvdHouston, TX 77030-4000 · Phone (713) 792-6161

Accepted Insurance

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

Dr. Kiran Mallula 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 ID2668692732
PECOS Enrollment IDI20210907001913
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 Reassignments

2

Medicare enrollment records show Kiran Mallula reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Pediatrics
200 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 224 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.

Other Providers at the Same Location NPPES 2

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

Anesthesiology (Pediatric Anesthesiology)
6411 FANNIN ST DEPT OF
HOUSTON, TX 77030
Radiology (Diagnostic Radiology)
6411 FANNIN ST DEPT OF
HOUSTON, TX 77030

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 Kiran Mallula's NPI number?

The NPI number for Kiran Mallula is 1396944823. It was assigned to this individual provider in the NPPES registry on July 14, 2007.

Where is Kiran Mallula located?

Kiran Mallula practices at 6411 Fannin St Dept Of, Houston, TX 77030. The listed phone number is (832) 914-2047.

What is Kiran Mallula's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kiran Mallula enrolled in Medicare?

Yes. Kiran Mallula 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 Kiran Mallula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiran Mallula reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Louisiana State University School Of Med In New Orleans Faculty Grou (New Orleans, LA). 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 Kiran Mallula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiran Mallula accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kiran Mallula 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.

When was this NPI record last updated?

The NPPES record for Kiran Mallula was last updated on October 29, 2024. 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.