PRASHANTH A MALLY MD
NPI 1669649729
Anesthesiology - Pain Medicine in Fairfax, VA
About Prashanth A Mally Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRASHANTH A MALLY MD (NPI 1669649729) is an individual pain medicine provider in Fairfax, Virginia, licensed in Virginia (101244719) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
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
Prashanth A Mally 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.
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.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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 Prashanth Mally's NPI number?
The NPI number for Prashanth Mally is 1669649729. It was assigned to this individual provider in the NPPES registry on May 8, 2008.
Where is Prashanth Mally located?
Prashanth Mally practices at 12255 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 934-5700.
What is Prashanth Mally's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Prashanth Mally enrolled in Medicare?
Yes. Prashanth Mally 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.
When was this NPI record last updated?
The NPPES record for Prashanth Mally was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Prashanth A Mally, MD · NPI 1669649729
Pain Medicine physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since May 8, 2008.
## Identity
- **NPI:** 1669649729 (Entity type: Individual)
- **Enumerated:** May 8, 2008
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **State license:** 101244719 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12255 FAIR LAKES PKWY, Fairfax, VA 22033-3952
- **Phone:** (703) 934-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** November 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669649729) · Data from the CMS NPPES public registry.