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DR. MALINI KANCHARLA REDDY M.D.
NPI 1568705135
Internal Medicine in Athens, GA

Active since April 02, 2013Opted out of Medicare · through May 20, 2028
1061 DOWDY RD, STE 100, ATHENS, GA 30606(706) 621-7575(706) 621-7557 Get Directions Write a Review

NPPES record last updated: July 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2018, Apr 26, 2017 (2 updates tracked since 2017).

About Dr. Malini Kancharla Reddy M.d. NPPES

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

DR. MALINI KANCHARLA REDDY M.D. (NPI 1568705135) is an individual internal medicine provider in Athens, Georgia, licensed in Georgia (076926) and active in the NPI registry since April 2013. She has opted out of Medicare through May 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1568705135
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MALINI KANCHARLA REDDYCredential: M.D.
Location Address1061 DOWDY RD, STE 100Athens, GA 30606
Mailing Address1061 Dowdy Rd, Ste 100Athens, GA 30606-5700 · (706) 621-7575 · Fax (706) 621-7557
Phone(706) 621-7575
Fax(706) 621-7557
Sole ProprietorNo
Enumeration DateApril 2, 2013
Last NPPES UpdateJuly 7, 20182 updates tracked since enumeration
✔ NPI 1568705135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 076926
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.
1061 DOWDY RD, Athens, GA 30606
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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

ⓘ

Opted out of Medicare

Dr. Malini Kancharla Reddy M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2024 through May 20, 2028.

Opt-Out Effective DateMay 20, 2024
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.
97 services78 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
68 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
32 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
29 services29 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.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 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 18

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

MR. ERROL DUNCAN MD
Family Medicine
1061 DOWDY RD, SUITE 100
ATHENS, GA 30606
Clarke County (706) 621-7575
REDDY URGENT CARE LLC
Clinic/Center (Urgent Care)
1061 DOWDY RD, SUIT 100
ATHENS, GA 30606
Clarke County (706) 621-7555
ABIGAIL JANE ROMAN
Physician Assistant
1061 DOWDY RD
ATHENS, GA 30606
Clarke County (804) 895-2718
AUDIOLOGY REHABILITATION SERVICES
Hearing Aid Equipment
1061 DOWDY RD, SUITE 204
ATHENS, GA 30606
Clarke County (706) 549-3111
PUSPARANI PANDA NP
Nurse Practitioner (Family)
1061 DOWDY RD, SUITE 101
ATHENS, GA 30606
Clarke County (706) 621-7575
GEORGIA SPINE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1061 DOWDY RD, SUITE 103
ATHENS, GA 30606
Clarke County (513) 561-8900
EPPS BRIDGE PEDIATRICS, LLC
Pediatrics
1061 DOWDY RD, 202
ATHENS, GA 30606
Clarke County (706) 621-7575
SAMUEL WATSON LEWIS ATC, PT, DPT
Physical Therapist
1061 DOWDY RD
ATHENS, GA 30606
Clarke County (762) 728-4440

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 Malini Reddy's NPI number?

The NPI number for Malini Reddy is 1568705135. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Malini Reddy located?

Malini Reddy practices at 1061 Dowdy Rd Ste 100, Athens, GA 30606. The listed phone number is (706) 621-7575.

What is Malini Reddy's specialty?

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

Is Malini Reddy enrolled in Medicare?

No. Malini Reddy has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Malini Reddy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Malini Reddy 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 Malini Reddy was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.