NPIMap

Individual provider Active NPI

Ajay Malhotra, MD

  • Vascular & Interventional Radiology Physician
  • Stony Brook, NY
National Provider Identifier
1023118627
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
232908 Issued in NY
Practice address
HSC L4 RM 120
Stony Brook, NY 11794-8460
Phone
(631) 444-5400
Fax
(631) 444-7538
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232908 NY
Vascular & Interventional Radiology Physician 2085R0204X 232908 NY Primary

Addresses

Primary practice location

HSC L4 RM 120
Stony Brook, NY 11794-8460

Mailing address

HSC L4 RM 120
Stony Brook, NY 11794-8460
Phone (631) 444-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110301000540 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5294809539 Reassigns benefits to 3 organizations
I20171002002324 OH Practitioner - Diagnostic Radiology 5294809539 Reassigns benefits to 3 organizations
I20180629000073 IN Practitioner - Diagnostic Radiology 5294809539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

Cincinnati, OH 45215
Phone (832) 422-9562

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Partners of Iowa Inc Vascular & Interventional Radiology CurrentSince Nov 23, 2020 Accepting new patients
Columbus Radiology Corp Vascular & Interventional Radiology CurrentSince Mar 27, 2020 Accepting new patients
Stony Brook Radiology, University Faculty Practice Corporation Vascular & Interventional Radiology CurrentSince Dec 20, 2010 Accepting new patients
South Bay Hospital Outpatient Diagnostic/Imaging Center Past Accepting new patients
Tampa Bay Radiology Consultants Past Accepting new patients
Hillsborough Radiology Consultants, PL Vascular & Interventional Radiology Past Accepting new patients
Carrollwood Diagnostic Imaging Past Accepting new patients
Radiology Consulting of Long Island PLLC Past Accepting new patients
Tampa Bay Radiology Associates PA Vascular & Interventional Radiology PastSince May 17, 2020 Accepting new patients

Locations

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1023118627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HSC L4 RM 120",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948460",
            "telephone_number": "631-444-5400",
            "fax_number": "631-444-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HSC L4 RM 120",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948460",
            "telephone_number": "631-444-5400",
            "fax_number": "631-444-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232908",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "232908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.