Active NPI
Malavika Bhalla, MD
- Diagnostic Radiology Physician
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 054259
- Practice address
- 1000 Asylum Ave
Suite 3201E
Hartford, CT 06105-1770 - Phone
- (860) 714-2724
- NPI assigned
- Jun 28, 2011
- Last updated
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 054259 | CT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gbgastro LLC | Current | Accepting new patients | |
| Rocky Hill Imaging Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Advanced Imaging Specialists, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Riverbend Medical Group, Inc. | 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
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
- 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.
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1689429078
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
Diagnostic Radiology
-
- Gastroenterology Physician
- Framingham, MA
- NPI 1033693023
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Internal Medicine Physician
- Dartmouth, MA
- NPI 1821349317
-
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1942234893
-
dba Trinity Health Of New England Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1265023154
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1639164106
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Stafford Springs, CT
- NPI 1053480293
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1932123569
-
- General Acute Care Hospital
- Stafford Springs, CT
- NPI 1972728442
-
- Psychiatric Hospital Unit
- Hartford, CT
- NPI 1144234428
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1407833486
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1871713495
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- Critical Access Hospital
- Montour Falls, NY
- NPI 1639150477
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.