Individual provider Active NPI

Ranjan Prakash Malhotra, MD

  • Ophthalmology Physician
  • Saint Louis, MO
National Provider Identifier
1396743555
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2000149845 Issued in MO
Practice address
12990 Manchester Rd
Ste 200
Saint Louis, MO 63131-1860
Phone
(314) 966-5000
Fax
(314) 909-6666
NPI assigned
Jul 12, 2005
Last updated
Mar 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2000149845 MO Primary

Addresses

Primary practice location

12990 Manchester Rd
Ste 200
Saint Louis, MO 63131-1860

Mailing address

12990 Manchester Rd
Ste 200
Saint Louis, MO 63131-1860
Phone (314) 966-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100802001010 MO Practitioner - Ophthalmology 0143325126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Missouri, Kansas City, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Consultants LLCGroup PAC ID 6800884008, 22 clinicians

Practice addresses (Care Compare)

12692 Lamplighter Square SHPG Ctr
Saint Louis, MO 63128-2746
Phone (314) 432-5478

Merit-based Incentive Payment System (MIPS)

Final score
79.58 of 100Reported as group
Quality
80.09
Promoting interoperability
88
Improvement activities
40
Cost
61.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000149845MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Ophthalmology Consultants, LLC Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Ophthalmology Associates 010196 Ophthalmology Past Accepting new patients

Locations

3513 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 688-7500

12692 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 432-5478

12990 Manchester Rd
Ste 20
Saint Louis, MO 63131
Phone (314) 966-5000

12990 Manchester Rd
Ste 200
Saint Louis, MO 63131
Phone (314) 966-5000

12990 Manchester Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 909-0633

621 S New Ballas Rd
Ste 5006B
Saint Louis, MO 63141
Phone (314) 251-5300

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

Interoperability endpoints

  • Direct secure messaging: malhotra.malhotra.p1@direct.ocltd.nextgenshare.com
  • Direct secure messaging: r.malhotra@oaassc.emadirect.md
  • Direct secure messaging: ranjan.malhotra.p2@direct.ocltd.nextgenshare.com

Organizations & group practices 3

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1396743555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12990 MANCHESTER RD",
            "address_2": "STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311860",
            "telephone_number": "314-966-5000",
            "fax_number": "314-909-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "RANJAN",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2000149845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.