Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Mallik A Piduru, M.D.

Surgery Physician in Brooksville, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265405997

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Registry record

Entity type Individual (Type 1)

Name Dr. Mallik A Piduru

Credential M.D.

Sex Male

Practice address 11373 Cortez Blvd, Suite 201, Brooksville, FL, 34613

Phone (352) 596-7860

Fax (352) 597-3657

Enumeration date Feb 13, 2006

Last updated in NPPES Jan 24, 2012

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License ME0044053 (FL) Primary

2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians · License ME0044053 (FL) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
P00984624	Other	FL	RR MCR
036160700	Medicaid	FL	-
26064	Other	FL	BCBS
P00867800	Other	FL	RR MCR ATTACHED TO GRP# CH7269
165252	Other	FL	WELLCARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1265405997 active?

Yes, as of the latest NPPES snapshot, NPI 1265405997 is active (record last updated 2012-01-24).

How do I verify Mallik Piduru's NPI record?

Cross-check NPI 1265405997 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-24.