Individual provider Active NPI

Moin U Mallhi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Berwick, PA
National Provider Identifier
1194938738
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD055799L Issued in PA
Practice address
1200 Freas Ave
Berwick, PA 18603-1612
Phone
(570) 752-6441
Fax
(570) 752-6442
NPI assigned
May 8, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD055799L PA
Pain Medicine (Anesthesiology) Physician 207LP2900X MD055799L PA Primary

Addresses

Primary practice location

1200 Freas Ave
Berwick, PA 18603-1612

Mailing address

1200 Freas Ave
Berwick, PA 18603-1612
Phone (570) 752-6441

Other identifiers 1

IdentifierTypeStateIssuer
0019733140008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040204000022 PA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 3274426317 Reassigns benefits to 1 organization
I20220623001858 NY Practitioner - Pain Management 3274426317

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 Freas Ave
Berwick, PA 18603-1612
Phone (570) 752-6441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gate Rehabilitation PT PC CurrentSince Jan 22, 2023 Accepting new patients
Raleigh Anesthesia Associates, Inc Past Accepting new patients
Know Pain Clinic, Inc Pain Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEABDA/Endpoint/BEABDA

Organizations & group practices 4

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1194938738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FREAS AVE",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186031612",
            "telephone_number": "570-752-6441",
            "fax_number": "570-752-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FREAS AVE",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186031612",
            "telephone_number": "570-752-6441",
            "fax_number": "570-752-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLHI",
        "first_name": "MOIN",
        "middle_name": "U",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD055799L",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD055799L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019733140008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.