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MS. PRIYA REDDY MALLIMALA M.B.B.S
NPI 1437907375
Emergency Medicine in Jackson, MS

Active since May 07, 2024PECOS Enrolled
2500 NORTH STATE STREET, JACKSON, MS 39216(601) 984-1113 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2024, Sep 6, 2024, May 7, 2024 (3 updates tracked since 2024).

About Ms. Priya Reddy Mallimala M.b.b.s NPPES

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

MS. PRIYA REDDY MALLIMALA M.B.B.S (NPI 1437907375) is an individual emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (T-5562) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437907375
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMS. PRIYA REDDY MALLIMALACredential: M.B.B.S
Location Address2500 NORTH STATE STREETJackson, MS 39216
Mailing Address1703 Howard StJackson, MS 39202-1324 · (347) 304-2127
Phone(601) 984-1113
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1437907375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MS · T-5562
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2500 NORTH STATE STREET, Jackson, MS 39216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Priya Reddy Mallimala M.b.b.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Other Providers at the Same Location NPPES 20

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

MR. BRADFORD STEELE MARTIN FNP-C
Nurse Practitioner
2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216
Hinds County (601) 815-3045
EMILY BRUMFIELD NP
Nurse Practitioner (Critical Care Medicine)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-5500
KIMBERLY C. COVINGTON TARVER MD
Internal Medicine (Geriatric Medicine)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216
Hinds County (601) 984-6426
MR. MARCELO EDUARDO RAINS M.D.
Pediatrics
2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. CELSO E. GOMEZ-SANCHEZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5525
MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
2500 NORTH STATE STREET
JACKSON, MS 39216
Hinds County (601) 815-4128
DR. KENNETH R. BENNETT MD
Internal Medicine (Cardiovascular Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5678
DR. GUY DOUGLAS CAMPBELL MD
Internal Medicine (Pulmonary Disease)
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216
Hinds County (601) 984-5650

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 Priya Mallimala's NPI number?

The NPI number for Priya Mallimala is 1437907375. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Priya Mallimala located?

Priya Mallimala practices at 2500 North State Street, Jackson, MS 39216. The listed phone number is (601) 984-1113.

What is Priya Mallimala's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Priya Mallimala enrolled in Medicare?

Yes. Priya Mallimala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Priya Mallimala was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.