MALLADI S REDDY M.D., FACC, PA
NPI 1730102062
Specialist in Houston, TX

Active since July 26, 2006PECOS Enrolled
2398 BAYCREST DR, HOUSTON, TX 77058(281) 420-6000(281) 420-9000 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Malladi S Reddy M.d., Facc, Pa NPPES

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

MALLADI S REDDY M.D., FACC, PA (NPI 1730102062) is an individual specialist in Houston, Texas, licensed in Texas (J3885) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730102062
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMALLADI S REDDYCredential: M.D., FACC, PA
Location Address2398 BAYCREST DRHouston, TX 77058-3702
Mailing Address4201 Garth Road, Suite 315Baytown, TX 77521 · (281) 420-6000 · Fax (281) 420-9000
Fax(281) 420-9000
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 16, 2015
NPI 1730102062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TX · J3885
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2398 BAYCREST DR, Houston, TX 77058

Other Identifiers 1

Medicare UPINA24683TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Malladi S Reddy M.d., Facc, Pa 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.

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 Malladi Reddy's NPI number?

The NPI number for Malladi Reddy is 1730102062. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Malladi Reddy located?

Malladi Reddy practices at 2398 Baycrest Dr, Houston, TX 77058. The listed phone number is (281) 420-6000.

What is Malladi Reddy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Malladi Reddy enrolled in Medicare?

Yes. Malladi Reddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Malladi Reddy was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.