VAMSI PRIYATHAM REDDY MALLU MD
NPI 1750229845
Student in an Organized Health Care Education/Training Program in Trinity, FL

Q: What is Vamsi Reddy Mallu's NPI number?

The NPI number for Vamsi Reddy Mallu is 1750229845. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Vamsi Reddy Mallu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Vamsi Reddy Mallu was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 23, 2026PECOS Enrolled

9330 STATE ROAD 54, TRINITY, FL 34655(727) 834-4000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vamsi Priyatham Reddy Mallu Md NPPES

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

VAMSI PRIYATHAM REDDY MALLU MD (NPI 1750229845) is an individual student in an organized health care education/training program in Trinity, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750229845

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameVAMSI PRIYATHAM REDDY MALLUCredential: MD

Location Address9330 STATE ROAD 54Trinity, FL 34655-1808

Mailing Address9330 State Road 54, GmeTrinity, FL 34655-1808

Phone(727) 834-4000

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 20, 2026

✔ NPI 1750229845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9330 STATE ROAD 54, Trinity, FL 34655

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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)

Vamsi Priyatham Reddy Mallu Md 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.

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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.

DR. KENNY HERNANDEZ MD

Internal Medicine