Dr Kozhaya Mallah, MD - Medicare Internal Medicine in Logan, WV

Dr Kozhaya Mallah, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Logan, West Virginia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Logan General Hospital Llc and his current practice location is 20 Hospital Dr, Logan, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 831-1602.

Dr Kozhaya Mallah is licensed to practice in West Virginia (license number 24018) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376717694.

Contact Information

Dr Kozhaya Mallah, MD
20 Hospital Dr,
Logan, WV 25601-3452
(304) 831-1602
(304) 831-1605



Physician's Profile

Full NameDr Kozhaya Mallah
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location20 Hospital Dr, Logan, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kozhaya Mallah graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1376717694
  • Provider Enumeration Date: 04/17/2008
  • Last Update Date: 10/31/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 0244361467
  • Enrollment ID: I20100701000225

Medical Identifiers

Medical identifiers for Dr Kozhaya Mallah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376717694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA08297600 (New Jersey)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 24018 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional Medical CenterLogan, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Logan General Hospital Llc953707897724

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kozhaya Mallah allows following entities to bill medicare on his behalf.
Entity NameLogan General Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720032105
PECOS PAC ID: 9537078977
Enrollment ID: O20031217001124

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kozhaya Mallah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kozhaya Mallah, MD
20 Hospital Dr,
Logan, WV 25601-3452

Ph: (304) 831-1602
Dr Kozhaya Mallah, MD
20 Hospital Dr,
Logan, WV 25601-3452

Ph: (304) 831-1602

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Internal Medicine Doctors in Logan, WV

Sathishchandra N Rao, M.D.
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 38 Hospital Dr, Logan, WV 25601
Phone: 304-792-6255    Fax: 304-792-6290
Fernando Luis Gonzalez-ramos, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 77 Hospital Drive, Suite 101, Logan, WV 25601
Phone: 304-831-0450    Fax: 304-831-0452
Robert Perez, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 20 Hospital Dr, Logan, WV 25601
Phone: 304-831-1630    Fax: 304-831-1634
Radhakrishna Kukkillaya, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 38 Hospital Dr, Logan, WV 25601
Phone: 304-792-6282    Fax: 304-792-6290
Dr. Chris Mccoy, D.O.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 557 Main St, Logan, WV 25601
Phone: 304-896-5001    
Dr. Raymond Omar Rushden, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 140 Stollings Ave Ste 2, Logan, WV 25601
Phone: 304-752-8400    Fax: 304-752-8419
John T Tiano, MD
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 20 Hospital Drive, Logan, WV 25601
Phone: 304-831-1602    Fax: 304-831-1605

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