Individual provider Active NPI

Rakesh Malhotra, M.D.

  • Internal Medicine Physician
  • Allentown, PA
National Provider Identifier
1073519666
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD417683 Issued in PA
Practice address
Lehigh Valley Primary Care
3026 Mosser Dr
Allentown, PA 18103
Phone
(484) 538-1834
NPI assigned
Jun 28, 2005
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD417683 PA Primary

Addresses

Primary practice location

Lehigh Valley Primary Care
3026 Mosser Dr
Allentown, PA 18103

Mailing address

3026 Mossar Dr
Lehigh Valley Prim Care PC
Allentown, PA 18102
Phone (484) 538-1834

Other identifiers 1

IdentifierTypeStateIssuer
100902619MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000873 PA Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Hospitalist 4385530492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1195NYMDAcupuncturist
MD417683PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Sep 26, 2016 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 26, 2016 Accepting new patients
Syracuse Community Health Center, Inc. Past Accepting new patients
Tower Health Medical Group Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

450 Chew St
Ste 101
Allentown, PA 18102
Phone (610) 776-4565

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

451 Chew St
Ste 306
Allentown, PA 18102
Phone (215) 821-2850

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1073519666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 MOSSAR DR",
            "address_2": "LEHIGH VALLEY PRIM CARE PC",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18102",
            "telephone_number": "484-538-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEHIGH VALLEY PRIMARY CARE",
            "address_2": "3026 MOSSER DR",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "484-538-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "RAKESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD417683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100902619",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.