Malavika Bhalla, MD
Individual provider Active NPI Diagnostic Radiology Physician · Hartford, CT
NPI 1447546403 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1447546403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 054259 (CT)
- Practice address
- 1000 Asylum Ave
Suite 3201E
Hartford, CT 06105-1770 - Phone
- (860) 714-2724
- NPI assigned
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cayuga Medical Associates PC
Advanced Imaging Specialists LLC
Riverbend Medical Group Inc
Practice addresses (Care Compare)
101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296
114 Woodland St
Hartford, CT 06105-1208
Phone (203) 426-3002
16 Brentwood Dr
Ithaca, NY 14850-1863
Phone (607) 277-2179
220 Steuben St
Montour Falls, NY 14865-9740
Phone (607) 210-1968
310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100
401 Cayuga Park LN
Ithaca, NY 14850-1180
Phone (607) 339-0625
444 Montgomery St
Chicopee, MA 01020-1969
Phone (413) 594-3111
Hospital & facility affiliations
- Cayuga Medical Center at Ithaca
- Schuyler Hospital
- St Francis Hospital & Medical Center
- Johnson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CT, MA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150813009481 | CT | Practitioner - Diagnostic Radiology | 2365757895 | Reassigns benefits to 3 organizations |
| I20181207002095 | MA | Practitioner - Diagnostic Radiology | 2365757895 | Reassigns benefits to 5 organizations |
| I20260310000925 | NY | Practitioner - Diagnostic Radiology | 2365757895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054259 | CT | MD | Diagnostic Radiology Physician |
| 274981 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Advanced Imaging Specialists, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Riverbend Medical Group, Inc | Current |
Accepting new patients | |
| Cayuga Medical Associates, PC | Current |
Accepting new patients | |
| Gbgastro LLC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Riverbend Medical Group, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Rocky Hill Imaging Center, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Danbury Radiological Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
1000 Asylum Ave
Ste 3201E
Hartford, CT 06105
Phone (860) 714-2724
476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111
851 Middle St
Ste 2100
Fall River, MA 02721
Phone (508) 235-5445
475 Franklin St
Ste 110
Framingham, MA 01702
Phone (508) 620-9200
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
800 Washington St
Norwood, MA 02062
Phone (781) 278-6264
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
Interoperability endpoints
- mbhalla2410123@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 274981 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 054259 | CT | Yes |
Addresses
Primary practice location
1000 Asylum Ave
Suite 3201E
Hartford, CT 06105-1770
Mailing address
1000 Asylum Ave
Suite 3201E
Hartford, CT 06105-1770
Phone (860) 714-2724
Other names
- Dr. Malavika Bandari
Other providers in Hartford, CT
- Luz Minerva Betancourt
- Christopher M Bethune
- Kristen Bettini
- Annina Beus
- Natalie Susan Bezler
- Priti Bhansali
- Nicholas Raj Bhaskaran
- Varun Bhat
- Navin Bhatt
- Vikram Bhatt
All providers in Hartford, CT · Diagnostic Radiology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.