Individual provider Active NPI

Mudita Malhotra, M.D.

  • Family Medicine Physician
  • Rockville, MD
National Provider Identifier
1336256502
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0074793 Issued in MD
Practice address
9707 Medical Center Dr Ste 230
Rockville, MD 20850-6339
Phone
(240) 744-7400
Fax
(240) 751-9159
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0074793 MD Primary

Addresses

Primary practice location

9707 Medical Center Dr Ste 230
Rockville, MD 20850-6339

Mailing address

9707 Medical Center Dr Ste 230
Rockville, MD 20850-6339
Phone (240) 744-7400

Other identifiers 4

IdentifierTypeStateIssuer
478696010MedicaidMI
MM068536OtherCHAMPUS-CHAMPUS
080H262390OtherBLUE CROSS-BLUE CROSS
MM068536OtherCOMMERCIAL-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20121023000084 DC Practitioner - Internal MedicinePractitioner - Family Practice 1254358930 Reassigns benefits to 2 organizations
I20190606001408 MD Practitioner - Family Practice 1254358930 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0074793MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians, Inc CurrentSince May 20, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince May 20, 2019 Accepting new patients
Johns Hopkins Community Physicians CurrentSince May 20, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Robert K. Brateman, MD,PC Family Medicine PastSince Jan 1, 1994 Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 300
Washington, DC 20016
Phone (202) 243-2280

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1336256502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR STE 230",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506339",
            "telephone_number": "240-744-7400",
            "fax_number": "240-751-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR STE 230",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506339",
            "telephone_number": "240-744-7400",
            "fax_number": "240-751-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "MUDITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0074793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478696010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "MM068536",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "080H262390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "MM068536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.