Individual provider Active NPI

Ieva Malhotra, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Miami Lakes, FL
National Provider Identifier
1407315187
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME162498 Issued in FL
Practice address
14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568
Phone
(516) 543-2938
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME162498 FL Primary

Addresses

Primary practice location

14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568

Mailing address

14875 NW 77TH Ave Ste 100
Miami Lakes, FL 33014-2568
Phone (516) 543-2938

Other names 1

  • Ieva Gulbickaite Other name

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230901001388 FL Practitioner - Internal Medicine 2567825961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Palliative Care Services IncGroup PAC ID 7416189998, 16 clinicians

Practice addresses (Care Compare)

14875 NW 77TH Ave
Suite 100
Miami Lakes, FL 33014-2568
Phone (305) 351-7057

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162498FLMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Palliative Care Services, Inc. CurrentSince Oct 1, 2023 Accepting new patients

Locations

3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

14875 NW 77th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 351-7057

14875 NW 77th Ave
Ste 201
Miami Lakes, FL 33014
Phone (305) 351-7086

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1407315187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14875 NW 77TH AVE STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142568",
            "telephone_number": "516-543-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14875 NW 77TH AVE STE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142568",
            "telephone_number": "516-543-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "IEVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME162498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IEVA",
            "last_name": "GULBICKAITE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.