Individual provider Active NPI

Malavika Bhalla, MD

  • Diagnostic Radiology Physician
  • Hartford, CT
National Provider Identifier
1447546403
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
054259 Issued in CT
Practice address
1000 Asylum Ave
Suite 3201E
Hartford, CT 06105-1770
Phone
(860) 714-2724
NPI assigned
Jun 28, 2011
Last updated
Sep 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 274981 MA
Diagnostic Radiology Physician 2085R0202X 054259 CT Primary

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 1

  • Dr. Malavika Bandari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
Advanced Imaging Specialists LLCGroup PAC ID 9234676164, 47 clinicians
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054259CTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gbgastro LLC CurrentSince Jan 1, 2019 Accepting new patients
Rocky Hill Imaging Center, LLC Diagnostic Radiology CurrentSince Oct 15, 2021 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Jul 16, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 23, 2019 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Feb 1, 2026 Accepting new patients
Advanced Imaging Specialists, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 29, 2020 Accepting new patients
Riverbend Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 16, 2020 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

1000 Asylum Ave
Ste 3201E
Hartford, CT 06105
Phone (860) 714-2724

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

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

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

  • Direct secure messaging: mbhalla2410123@direct.trinity-health.org

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1447546403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3201E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE",
            "address_2": "SUITE 3201E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051770",
            "telephone_number": "860-714-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "MALAVIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "274981",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "054259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALAVIKA",
            "last_name": "BANDARI",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.