Individual provider Active NPI

Meenakshi Malhotra, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooksville, FL
National Provider Identifier
1609807056
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME87731 Issued in FL
Practice address
Brooksville Regional Hospital, Dept Pathology
17240 Cortez Blvd.
Brooksville, FL 34605-0037
Phone
(352) 544-6050
Fax
(352) 688-8822
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME87731 FL Primary

Addresses

Primary practice location

Brooksville Regional Hospital, Dept Pathology
17240 Cortez Blvd.
Brooksville, FL 34605-0037

Mailing address

5351 Championship Cup LN
Brooksville, FL 34609-0366
Phone (352) 544-6050

Other identifiers 1

IdentifierTypeStateIssuer
270820500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040223000499 FL Practitioner - Pathology 8325934979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87731FLMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1609807056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5351 CHAMPIONSHIP CUP LN",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346090366",
            "telephone_number": "352-544-6050",
            "fax_number": "352-688-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKSVILLE REGIONAL HOSPITAL, DEPT PATHOLOGY",
            "address_2": "17240 CORTEZ BLVD.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346050037",
            "telephone_number": "352-544-6050",
            "fax_number": "352-688-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "MEENAKSHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME87731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270820500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.