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

Phani Kishore Molakatalla, MD

Individual provider Internal Medicine Physician · NPI 1861620007

Phani Kishore Molakatalla, MD is a Gastroenterology in Gardner, Massachusetts. Qualified in 2007, 19 years ago. Practices with Heywood Medical Group Inc, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Pennsylvania.

Years since qualifying
19
Licensed in
MA, PA
In the registry since
2009
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

250 Green St Ste 209
Gardner, MA 01440-1396
Phone: (978) 669-5522
Fax: (978) 632-0516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 261931 (MA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD447302 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT194411 (PA)

Record details

NPI number1861620007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2009
Last updated in NPPESJuly 7, 2015
Mailing address250 Green St, Suite 209, Gardner, MA 01440-1396

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Heywood Medical Group Inc. — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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