Individual provider Active NPI

Vijay K Malhotra, M.D

  • Internal Medicine Physician
  • Johnstown, PA
National Provider Identifier
1467598755
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD037404-L Issued in PA
Practice address
374 Theatre Dr Ste 2a
Johnstown, PA 15904-3221
Phone
(814) 535-6521
Fax
(814) 536-4819
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD037404L PA
Internal Medicine Physician 207R00000X MD037404-L PA Primary

Addresses

Primary practice location

374 Theatre Dr Ste 2a
Johnstown, PA 15904-3221

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7333

Other practice location 1

3840 William Penn Ave
Nanty Glo, PA 15943-3423
Phone (814) 749-3572

Other identifiers 2

IdentifierTypeStateIssuer
104468912-0001MedicaidPA
0598845MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051221000368 PA Practitioner - Internal Medicine 9133141963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

3840 William Penn Ave
Nanty Glo, PA 15943-3423
Phone (814) 749-3572

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037404-LPAMDInternal Medicine Physician
MD037404LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Healthcare Physician Services Inc CurrentSince Apr 14, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc Internal Medicine CurrentSince Apr 14, 2025 Accepting new patients
Vijay K Malhotra MD PC PastSince Jan 1, 1990 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Past Accepting new patients

Locations

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

374 Theatre Dr
Ste 2A
Johnstown, PA 15904
Phone (814) 535-6521

3840 William Penn Ave
Nanty Glo, PA 15943
Phone (814) 749-3572

Organizations & group practices 6

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 1

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1467598755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7333",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 THEATRE DR STE 2A",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043221",
            "telephone_number": "814-535-6521",
            "fax_number": "814-536-4819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3840 William Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Nanty Glo",
            "state": "PA",
            "postal_code": "159433423",
            "country_code": "US",
            "telephone_number": "814-749-3572",
            "fax_number": "814-540-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037404L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD037404-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104468912-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0598845",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.