DR. MALLIK R THATIPELLI MD NPI 1114904166

NPI Information

  • NPI: 1114904166
  • Provider Name: DR. MALLIK R THATIPELLI, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2808 F ST STE A
    BAKERSFIELD, CA
    ZIP 93301
  • Phone: (661) 873-4216

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NPI Details

DR. Mallik R Thatipelli, MD is a cardiovascular disease internal medicine in Bakersfield, CA with 37 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mallik R Thatipelli, MD NPI is 1114904166. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2808 F ST STE A
BAKERSFIELD, CA
ZIP 93301-833
Phone: (661) 873-4216
Fax: (661) 829-0600

The NPI 1114904166 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.

  • Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance (HCPCS:36466)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 12/29/2005 and was last updated on 7/21/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseC53592CALIFORNIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16474639MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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