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AJITHA MALLIDI MD
NPI 1780511667
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 06, 2026PECOS Enrolled
1500 E MEDICAL CENTER DR SPC 5331, ANN ARBOR, MI 48109(734) 936-5738 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ajitha Mallidi Md NPPES

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

AJITHA MALLIDI MD (NPI 1780511667) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351055884) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780511667
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAJITHA MALLIDICredential: MD
Location Address1500 E MEDICAL CENTER DR SPC 5331Ann Arbor, MI 48109-5331
Mailing Address1500 E Medical Center Dr Spc 5331Ann Arbor, MI 48109-5331
Phone(734) 936-5738
Sole ProprietorNo
Enumeration DateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1780511667 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
License✔ Licensed in MI · 4351055884
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.
1500 E MEDICAL CENTER DR SPC 5331, Ann Arbor, MI 48109
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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)

Ajitha Mallidi 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.

Other Providers at the Same Location NPPES 3

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

BARRY WEI MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5331
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
JOANNA HUA MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5331
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
BRITTANY NICOLE LANDAVAZO
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5331
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738

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 Ajitha Mallidi's NPI number?

The NPI number for Ajitha Mallidi is 1780511667. It was assigned to this individual provider in the NPPES registry on May 6, 2026.

Where is Ajitha Mallidi located?

Ajitha Mallidi practices at 1500 E Medical Center Dr Spc 5331, Ann Arbor, MI 48109. The listed phone number is (734) 936-5738.

What is Ajitha Mallidi's specialty?

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

Is Ajitha Mallidi enrolled in Medicare?

Yes. Ajitha Mallidi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ajitha Mallidi was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.