Active NPI
Rajeev Malhotra, M.D.
- Geriatric Psychiatry Physician
- Naperville, IL
National Provider Identifier
1194753491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 036096411
- Practice address
- 4305 Lone Tree CT
Naperville, IL 60564-9794 - Phone
- (630) 800-1350
- Fax
- (630) 241-1543
- NPI assigned
- Jun 28, 2006
- Last updated
- May 22, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 036096411 | IL | Primary |
Addresses
Primary practice location
4305 Lone Tree CT
Naperville, IL 60564-9794
Mailing address
4305 Lone Tree CT
Naperville, IL 60564-9794
Phone (630) 800-1350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017576790002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Services Inc. | Current | Accepting new patients | |
| Trinity Services Inc. | Current | Accepting new patients | |
| All Well Medical Clinic Inc. | Past | Accepting new patients |
Locations
101 Hempstead Pl
Ste 1D
Joliet, IL 60433
Phone (815) 485-1610
301 Veterans Pkwy
New Lenox, IL 60451
Phone (815) 485-4781
Interoperability endpoints
- drm@arora-assoc-llc.direct.kno2fy.com
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.
-
- Social Worker
- Joliet, IL
- NPI 1902086861
-
- Psychiatry Physician
- Warrenville, IL
- NPI 1053355289
-
- Geriatric Psychiatry Physician
- Naperville, IL
- NPI 1922233790
-
- Physician Assistant
- Joliet, IL
- NPI 1942750534
-
- Nurse Practitioner
- Joliet, IL
- NPI 1225803091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1194753491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 LONE TREE CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649794",
"telephone_number": "630-800-1350",
"fax_number": "630-241-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 LONE TREE CT",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605649794",
"telephone_number": "630-800-1350",
"fax_number": "630-241-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "RAJEEV",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "IL",
"license": "036096411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017576790002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.