NPIMap

Individual provider Active NPI

Kirti Malhotra, M.D.

  • Internal Medicine Physician
  • Annapolis, MD
National Provider Identifier
1487917605
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D79223 Issued in MD
Practice address
116 Defense Hwy Ste 400
Annapolis, MD 21401-7050
Phone
(410) 897-9841
Fax
(410) 897-9852
NPI assigned
Jun 21, 2012
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D79223 MD Primary

Addresses

Primary practice location

116 Defense Hwy Ste 400
Annapolis, MD 21401-7050

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6569

Other identifiers 1

IdentifierTypeStateIssuer
940287OtherMDMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kirti.malhotra.1@3805.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930001926 MD Practitioner - Internal Medicine 3274841929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Annapolis Internal Medicine, LLCGroup PAC ID 2163324997, 22 clinicians

Practice addresses (Care Compare)

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7050
Phone (410) 897-9841

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D79223MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 31, 2015 Accepting new patients
Annapolis Internal Medicine, LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Aug 31, 2015 Accepting new patients
Titus C. Abraham, MD, LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

116 Defense Hwy
Ste 104
Annapolis, MD 21401
Phone (410) 897-0560

116 Defense Hwy
Ste 400
Annapolis, MD 21401
Phone (410) 897-9841

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3805/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1487917605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6569",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY STE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017050",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "KIRTI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D79223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "940287",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirti.malhotra.1@3805.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct email to EMR (athenahealth)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "116 Defense Hwy Ste 400",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214017050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.