1. Home
  2. Directory
  3. Massachusetts
  4. Gardner
  5. Internal Medicine
  6. NPI Profile

PHANI KISHORE MOLAKATALLA M.D.
NPI 1861620007
Internal Medicine - Gastroenterology in Gardner, MA

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
250 GREEN ST, SUITE 209, GARDNER, MA 01440(978) 669-5522(978) 632-0516 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phani Kishore Molakatalla M.d. NPPES

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

PHANI KISHORE MOLAKATALLA M.D. (NPI 1861620007) is an individual gastroenterology provider in Gardner, Massachusetts, licensed in Massachusetts (261931) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Heywood Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1861620007
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePHANI KISHORE MOLAKATALLACredential: M.D.
Location Address250 GREEN ST, SUITE 209Gardner, MA 01440-1396
Mailing Address250 Green St, Suite 209Gardner, MA 01440-1396 · (978) 669-5522 · Fax (978) 632-0516
Phone(978) 669-5522
Fax(978) 632-0516
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateJune 25, 2009
Last NPPES UpdateJuly 7, 2015
✔ NPI 1861620007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 261931
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD447302 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT194411 (PA)
250 GREEN ST, Gardner, MA 01440
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Phani Kishore Molakatalla M.d. 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.

PECOS PAC ID1658518352
PECOS Enrollment IDI20150820010165
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.

Areas of Expertise CMS Part B claims 13

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
199 services197 patients
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.
154 services135 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
139 services128 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
45 services45 patients
Injection beneath lining of large bowel using a flexible endoscope 45381
This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.
34 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Heywood Hospital

Acute Care Hospitals · Gardner, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220095
Location242 Green StreetGardner, MA 01440 · Worcester County
Emergency services Birthing friendly

Athol Memorial Hospital

Critical Access Hospitals · Athol, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221303
Location2033 Main StreetAthol, MA 01331 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%631 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
14%502 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%400 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%829 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%829 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%829 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
32%829 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHELE C. PARKER M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 669-0199
BARBARA J. WALKER RNNP
Nurse Practitioner
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 632-6445
AYAZ TARIQ MALIK M.D.
Internal Medicine (Gastroenterology)
250 GREEN ST, STE 212
GARDNER, MA 01440
Worcester County (978) 669-5522
JOHN M. SKRZYPCZAK M.D.
Emergency Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6280
MELISSA KRISTEN CAPOTOSTO NP
Nurse Practitioner (Women's Health)
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6880
ERIN KATE DOOLEY MD/MPH
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6330
MERCY FAMILY PRACTICE PC
Family Medicine
250 GREEN ST, SUITE 200
GARDNER, MA 01440
Worcester County (978) 632-6445
JOHN WORDEN M.D.
Family Medicine
250 GREEN ST
GARDNER, MA 01440
Worcester County (978) 630-6445

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 Phani Molakatalla's NPI number?

The NPI number for Phani Molakatalla is 1861620007. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Phani Molakatalla located?

Phani Molakatalla practices at 250 Green St Suite 209, Gardner, MA 01440. The listed phone number is (978) 669-5522.

What is Phani Molakatalla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Phani Molakatalla enrolled in Medicare?

Yes. Phani Molakatalla 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.

What insurance does Phani Molakatalla accept?

Health plans from Anthem Blue Cross and Blue Shield list Phani Molakatalla 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.

Is Phani Molakatalla affiliated with any hospitals?

According to CMS data, Phani Molakatalla is affiliated with Heywood Hospital and Athol Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phani Molakatalla was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.