Individual provider Active NPI

Manish Babaji Malkar, M.D.

  • Pediatric Cardiology Physician
  • Clovis, CA
National Provider Identifier
1124249073
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
C171020 Issued in CA
Practice address
726 N Medical Center Dr E Ste 209
Clovis, CA 93611-6886
Phone
(559) 325-5568
Fax
(559) 325-5656
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X C171020 CA Primary
Pediatrics Physician 208000000X C171020 CA

Addresses

Primary practice location

726 N Medical Center Dr E Ste 209
Clovis, CA 93611-6886

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407003133 CA Practitioner - Other (Physician) 6305937467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C171020CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clovis Community Medical Center CurrentSince May 11, 2021 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 11, 2021 Accepting new patients
Community Health Partners CurrentSince Jan 18, 2021 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Pediatric Academic Association, Inc. Pediatrics Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

726 N Medical Center Dr E
Ste 209
Clovis, CA 93611
Phone (559) 325-5568

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

215 N Fresno St
Ste 370
Fresno, CA 93701
Phone (559) 459-2327

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Interoperability endpoints

  • Direct secure messaging: mmalkar404983@direct.vumc.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1124249073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N MEDICAL CENTER DR E STE 209",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-325-5568",
            "fax_number": "559-325-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKAR",
        "first_name": "MANISH",
        "middle_name": "BABAJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "C171020",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C171020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.