KISHORE REDDY RASAMALLU MD NPI 1568667863

NPI Information

  • NPI: 1568667863
  • Provider Name: KISHORE REDDY RASAMALLU, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12895 KEYSTONE CT
    ALPHARETTA, GA
    ZIP 30009
  • Phone: (210) 379-8553

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NPI Details

Kishore Reddy Rasamallu, MD is an internal medicine in Alpharetta, GA with 29 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Kishore Reddy Rasamallu, MD NPI is 1568667863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12895 KEYSTONE CT
ALPHARETTA, GA
ZIP 30009-526
Phone: (210) 379-8553
Fax: (910) 900-1239

The NPI 1568667863 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 hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Extended inpatient or observation hospital service, first hour (HCPCS:99356)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 6/18/2007 and was last updated on 6/20/2024.

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
1208M00000XHospitalistMD432046PENNSYLVANIANo
2207R00000XInternal Medicine077148GEORGIAYes
3207R00000XInternal MedicineMD432046PENNSYLVANIANo
4207R00000XInternal MedicineM9598TEXASNo
5208M00000XHospitalistM9598TEXASNo

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
12864090000OTHERPENNSYLVANIAPERSONAL CHOICE
230046047OTHERPENNSYLVANIAKEYSTONE MERCY
31020162720001MEDICAIDPENNSYLVANIA
41988201OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
539170OTHERPENNSYLVANIAHEALTH PARTNERS
62864090000OTHERPENNSYLVANIAKEYSTONE IBC
71747437OTHERPENNSYLVANIAAETNA

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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