DR. SUMANTH MULAMALLA MD NPI 1003019647

NPI Details

DR. Sumanth Mulamalla, MD is a nephrology internal medicine in Dyer, IN with 23 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Sumanth Mulamalla, MD NPI is 1003019647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2003

The provider's business location address is:

15900 W 101ST AVE
DYER, IN
ZIP 46311-065
Phone: (219) 365-6333
Fax: (219) 365-8291

The NPI 1003019647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth (HCPCS:G0407)
• Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth (HCPCS:G0426)
• Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth (HCPCS:G0408)
• Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth (HCPCS:G0427)
• Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth (HCPCS:G0406)

The enumeration date for this NPI number is 6/11/2007 and was last updated on 4/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.