Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Mallik Kalepu, MD

Individual provider Family Medicine Physician · NPI 1083749303

Dr. Mallik Kalepu, MD is a Family Practice in Jamaica, New York. Qualified in 1970, 56 years ago. Practices with Joseph P. Addabbo Family Health Center, Inc, a 29-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
56
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11439 Sutphin Blvd
Jamaica, NY 11434-1022
Phone: (718) 945-7150
Fax: (718) 945-2596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 205718 (NY)

Record details

NPI number1083749303
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJune 25, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Joseph P. Addabbo Family Health Center, Inc. — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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