Dr Mallareddy Maddula, MD in Stockton, CA

Dr Mallareddy Maddula, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Stockton, California. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice San Joaquin Kidney Clinic, Inc and his current practice location is 1801 E March Ln, Suite B265, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 546-1868.

Dr Mallareddy Maddula is licensed to practice in California (license number A108120) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487762647.

Contact Information

	Dr Mallareddy Maddula, MD
	1801 E March Ln, Suite B265, Stockton, CA 95210-6629
	(209) 546-1868
	(209) 461-6505

Map and Direction

Physician's Profile

Full Name	Dr Mallareddy Maddula
Gender	Male
Speciality	Nephrology
Experience	27 Years
Location	1801 E March Ln, Stockton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mallareddy Maddula graduated from medical school in 1997

NPI Data:

NPI Number: 1487762647
Provider Enumeration Date: 08/28/2006
Last Update Date: 02/28/2011

Medicare PECOS Information:

PECOS PAC ID: 6002807336
Enrollment ID: I20090825000290

Medical Identifiers

Medical identifiers for Dr Mallareddy Maddula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487762647	NPI	-	NPPES
A108120	Other	CA	STATE LICENSE
CB971Z	Other	CA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	ME96158 (Florida)	Secondary
207RN0300X	Internal Medicine - Nephrology	A108120 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lodi Dialysis Center	Lodi, CA	Dialysis facility
Delta Sierra Dialysis Center	Stockton, CA	Dialysis facility
Tokay Dialysis Center	Lodi, CA	Dialysis facility
Port City Dialysis Center	Stockton, CA	Dialysis facility
Tokay Home Dialysis Center	Lodi, CA	Dialysis facility
Adventist Health Lodi Memorial	Lodi, CA	Hospital
St Joseph's Medical Center Of Stockton	Stockton, CA	Hospital
Memorial Medical Center	Modesto, CA	Hospital
Sutter Amador Hospital	Jackson, CA	Hospital
Dameron Hospital	Stockton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
San Joaquin Kidney Clinic, Inc	8527009158	6

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. Dr Mallareddy Maddula allows following entities to bill medicare on his behalf.

Entity Name	San Joaquin Kidney Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407897358 PECOS PAC ID: 8527009158 Enrollment ID: O20050513000412

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. Dr Mallareddy Maddula 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 Address	Practice Location Address
Dr Mallareddy Maddula, MD 1801 E March Ln, Suite B265, Stockton, CA 95210-6629 Ph: (209) 546-1868	Dr Mallareddy Maddula, MD 1801 E March Ln, Suite B265, Stockton, CA 95210-6629 Ph: (209) 546-1868

Reviews and Comments

Internal Medicine Doctors in Stockton, CA

Jasmine Hundal, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-751-1919
Dr. Navneet Kaur, M.B.B.S Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 Fax: 209-645-6344
David C Lim, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 415 E Harding Way, Suite D, Stockton, CA 95204 Phone: 209-944-5750
Xing-jian Lu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Kwabena Opoku-mensah Adubofour, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2524 E Main St, Stockton, CA 95205 Phone: 800-249-9497 Fax: 800-249-9497
Dr. Ronald A Kass, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste C310, Stockton, CA 95210 Phone: 209-465-5731 Fax: 209-465-0230
Issa M. Fakhouri, MD Nephrology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000

Dr Mallareddy Maddula, MD - Medicare Nephrology in Stockton, CA