Madhu Malhotra, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36057962 Issued in IL

Practice address

1 Veterans Dr
Manteno, IL 60950-9466

Phone

(815) 468-1030

Fax

(815) 468-1219

NPI assigned

Oct 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447344205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 CRYSTAL SPRINGS LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604673097",
            "telephone_number": "708-349-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DR",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609509466",
            "telephone_number": "815-468-1030",
            "fax_number": "815-468-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "MADHU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36057962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Kress, DNP, APRN, FNP-C
• Mitchell Jack Kuntz, MS, LAT, ATC
• Lauryn Littrell
• Kathleen Lund, CADC
• Gregory Macagba, OD
• Manteno Chiropractic & Wellness Center
• Manteno Community Fire Protection District
• Manteno Physical Therapy, LLC
• Manteno School District #5
• Manteno Springs Assisted Living

• Internal Medicine Physician in Manteno, IL
• Providers in Manteno, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.