Jaya Reddy Mallidi, MD - Medicare Cardiovascular Disease (cardiology) in Santa Rosa, CA

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Jaya Reddy Mallidi, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Santa Rosa, California. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice City And County Of San Francisco, University Of California Sfgh Medical Group and her current practice location is 500 Doyle Park Dr Ste G05, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 576-7100.

Jaya Reddy Mallidi is licensed to practice in California (license number A134248) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376786947.

Contact Information

Jaya Reddy Mallidi, MD
500 Doyle Park Dr Ste G05,
Santa Rosa, CA 95405-4555
(707) 576-7100
(707) 576-8482

Map and Direction




Physician's Profile

Full NameJaya Reddy Mallidi
GenderFemale
SpecialityCardiovascular Disease (cardiology)
Experience17 Years
Location500 Doyle Park Dr Ste G05, Santa Rosa, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jaya Reddy Mallidi graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1376786947
  • Provider Enumeration Date: 04/13/2009
  • Last Update Date: 11/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4284873928
  • Enrollment ID: I20160903000011

Medical Identifiers

Medical identifiers for Jaya Reddy Mallidi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376786947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 252857 (Massachusetts)Secondary
208M00000XHospitalist 252857 (Massachusetts)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease A134248 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Zuckerberg San Francisco General Hosp & Trauma CtrSan francisco, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
City And County Of San Francisco1658280748265
University Of California Sfgh Medical Group5496668410488

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaya Reddy Mallidi allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881763597
PECOS PAC ID: 4284547274
Enrollment ID: O20031106000389
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154396208
PECOS PAC ID: 5496668410
Enrollment ID: O20031113000632
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameCity & County Of San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982737524
PECOS PAC ID: 1658280748
Enrollment ID: O20050309000770
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386619344
PECOS PAC ID: 5496668410
Enrollment ID: O20050401000140
Entity NameSt Joseph Health Northern California Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235218785
PECOS PAC ID: 8921374562
Enrollment ID: O20200706001160

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaya Reddy Mallidi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaya Reddy Mallidi, MD
500 Doyle Park Dr Ste G05,
Santa Rosa, CA 95405-4555

Ph: () -		Jaya Reddy Mallidi, MD
500 Doyle Park Dr Ste G05,
Santa Rosa, CA 95405-4555

Ph: (707) 576-7100

Reviews and Comments


Internal Medicine Doctors in Santa Rosa, CA

Rajveer Sangera, DO
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 500 Doyle Park Dr Ste G04, Santa Rosa, CA 95405
Phone: 707-576-7100    
Dr. Yulia Rivelis, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3883 Airway Dr, Santa Rosa, CA 95403
Phone: 707-573-5458    Fax: 707-573-5458
Soheila Benrazavi, MD
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Practice Location: 4730 Hoen Ave, Santa Rosa, CA 95405
Phone: 707-528-1616    
Jarrod Paul Holmes, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3555 Round Barn Cir, Santa Rosa, CA 95403
Phone: 707-528-1050    Fax: 707-525-3874
Dominic Joseph Picetti, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403
Phone: 707-576-4000    
Parul Kohli, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403
Phone: 707-546-2180    Fax: 707-546-2188
Scott M. Trahms, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.