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

Individual provider Internal Medicine Physician · NPI 1760845747

Dr. Rajiv Matthew Mallipudi, MD is a Hospitalist in Bridgeport, Connecticut. Qualified in 2016, 10 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2016
Specialties on file
3
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

267 Grant St
Bridgeport, CT 06610
Phone: (203) 384-4677
Fax: (203) 384-3135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 267 Grant St, Bridgeport, CT 06610 — (203) 384-4677
  • 1 Bay Ave, Montclair, NJ 07042-4837 — (973) 429-6000

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 62105 (CT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 62105 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760845747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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