P Praxis·MD
● Active Type 1 · Individual

Kishore Reddy Rasamallu, MD

Internal Medicine·Alpharetta, GA· NPI 1568667863 · Enumerated 2007 · 18 years on NPI
Rasamallu is 1 of 82 internal medicine providers in Alpharetta and 1 of 5027 in Georgia.
NPI age
18 years
Enumerated 2007-06-18
Primary specialty
Internal Medicine
Plus 4 subspecialties
Licensed in
GA, PA, TX
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
12895 Keystone Ct
Alpharetta, GA 300091526
📞 2103798553fax 9109001239
Mailing address
12895 Keystone Ct
Alpharetta, GA 300091526
📞 2103798553fax 9109001239

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1165 Sanders Rd
Cumming, GA 300415965
📞 2103798553
Location 3
1968 Peachtree Rd Nw Fl 6
Atlanta, GA 303091281
📞 2103798553

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #077148PA license #MD432046TX license #M9598 taxonomy 207R00000X
  • Hospitalist
    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
    PA license #MD432046TX license #M9598 taxonomy 208M00000X

Identifiers

TypeValueNotes
01 (PA) 2864090000 PERSONAL CHOICE
01 (PA) 30046047 KEYSTONE MERCY
05 (PA) 1020162720001
01 (PA) 1988201 HIGHMARK BLUE SHIELD
01 (PA) 39170 HEALTH PARTNERS
01 (PA) 2864090000 KEYSTONE IBC
01 (PA) 1747437 AETNA
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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