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LENKALA R MALLAIAH MD
NPI 1891794954
Internal Medicine - Gastroenterology in Sanford, FL

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
311 N MANGOUSTINE AVE, SANFORD, FL 32771(407) 321-4570(407) 321-7690 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lenkala R Mallaiah Md NPPES

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

LENKALA R MALLAIAH MD (NPI 1891794954) is an individual gastroenterology provider in Sanford, Florida, licensed in Florida (ME0037029) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1891794954
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLENKALA R MALLAIAHCredential: MD
Location Address311 N MANGOUSTINE AVESanford, FL 32771-1098
Mailing Address311 N Mangoustine AveSanford, FL 32771-1098 · (407) 321-4570 · Fax (407) 321-7690
Phone(407) 321-4570
Fax(407) 321-7690
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateJuly 20, 2005
Last NPPES UpdateMarch 1, 2012
✔ NPI 1891794954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME0037029
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.
311 N MANGOUSTINE AVE, Sanford, FL 32771
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN59292ZFL
Medicare UPIND57061
Other59292FL · Bs/bs
Medicaid065414100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lenkala R Mallaiah 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.

PECOS PAC ID6608811260
PECOS Enrollment IDI20101026000050
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.

Medicare Billing Reassignment

Medicare enrollment records show Lenkala Mallaiah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mid-Florida Gastroenterology Group P A
Same address
Specialist
311 N MANGOUSTINE AVE
Sanford, FL 32771
  • Reassigned Medicare billing, Florida enrollment
NPI 1841474103 (407) 321-4570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services50 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.
52 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
17 services16 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

MID-FLORIDA GASTROENTEROLOGY GROUP P A
Specialist
311 N MANGOUSTINE AVE
SANFORD, FL 32771
Seminole County (407) 321-4570

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 Lenkala Mallaiah's NPI number?

The NPI number for Lenkala Mallaiah is 1891794954. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Lenkala Mallaiah located?

Lenkala Mallaiah practices at 311 N Mangoustine Ave, Sanford, FL 32771. The listed phone number is (407) 321-4570.

What is Lenkala Mallaiah's specialty?

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

Is Lenkala Mallaiah enrolled in Medicare?

Yes. Lenkala Mallaiah 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.

Which organization bills Medicare for Lenkala Mallaiah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lenkala Mallaiah reassigns Medicare benefits to Mid-Florida Gastroenterology Group P A (Sanford, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lenkala Mallaiah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lenkala Mallaiah accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Wellpoint list Lenkala Mallaiah 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.

When was this NPI record last updated?

The NPPES record for Lenkala Mallaiah was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.