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Andres Diezcanseco Mallipudi, MD

NPI 1265823793ActiveIndividual· Emergency Medicine· Auburn, WA

Emergency Medicine (MD) in Auburn, Washington, trained at Johns Hopkins University School of Medicine (class of 2018). Mostly services rather than prescriptions: Medicare paid $20,458 for 148 patients in 2024, with only 20 Part D claims.

Overview

NPI1265823793
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedFeb 5, 2015
Last updated in NPPESOct 1, 2024
Certified by providerOct 1, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Emergency Medicine Primary207P00000XMD61518915WA
Emergency Medicine207P00000X292098MA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Emergency Medicine (WA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients148
Services billed197 across 20 procedure codes
Paid by Medicare$20,458

Part D prescriptions in 2024

Prescriptions (claims)20 · 20 30-day fills
Patients15
Total drug cost$676.58
Generic share90% of claims

Medicare sources and data years

Education and affiliations

Medical schoolJohns Hopkins University School of Medicine
Graduation year2018
Medicare specialtyEmergency Medicine

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Emergency Medicine providers in Auburn

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