Smita Malhotra, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3096 Issued in FL

Practice address

1100 Sawgrass Village Dr
Ste 100
Ponte Vedra Beach, FL 32082-5048

Phone

(904) 285-9355

Fax

(904) 285-7442

NPI assigned

Oct 13, 2005

Last updated

Nov 16, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124
  Medicare reassignment NPD
• Smita Malhotra

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1659540102
  NPD (past) Authorized official
• St Vincents Ambulatory Care Inc

  dba Ascension St Vincent's Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1679226690
  NPD

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1174511018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551380",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322551380",
            "telephone_number": "904-285-9355",
            "fax_number": "904-285-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAWGRASS VILLAGE DR",
            "address_2": "STE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825048",
            "telephone_number": "904-285-9355",
            "fax_number": "904-285-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "SMITA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3096",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Marie Luke-Tindley, DNP, APRN, FNP-C
• Justin Stuart Gee Ming Ma, DPT, PT
• Cameron Money Macchia
• Magnifydx LLC (Dermagnify)
• Pamela J Mahan, PA
• Dawn A. Mallard, MA CCC-SLP
• Jennifer Marie Mallis, MSW, LCSW, QS
• Mandala Family Wellness LLC
• Mandala Family Wellness LLC
• Caitlin Austin Mangum

• Podiatrist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.