Individual provider Active NPI

Poonam Malhotra, M.D.

  • Family Medicine Physician
  • Spring Hill, FL
National Provider Identifier
1619903507
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME93291 Issued in FL
Practice address
3376 Mariner Blvd
Spring Hill, FL 34609-2460
Phone
(352) 684-3300
Fax
(352) 688-3222
NPI assigned
Jun 23, 2006
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME93291 FL Primary

Addresses

Primary practice location

3376 Mariner Blvd
Spring Hill, FL 34609-2460

Mailing address

3376 Mariner Blvd
Spring Hill, FL 34609-2460
Phone (352) 684-3300

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
I20110215000737 FL Practitioner - Family Practice 8628258142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3376 Mariner Blvd
Spring Hill, FL 34609-2460
Phone (352) 684-3300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93291FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Clinic LLC Family Medicine CurrentSince Mar 7, 2010 Accepting new patients
Absolute Healthcare LLC CurrentSince Jan 21, 2014 Accepting new patients

Locations

11077 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 684-3300

3376 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 678-3033

3378 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 796-7171

1902 E Busch Blvd
Tampa, FL 33612
Phone (813) 279-1000

4730 N Habana Ave
Ste 300
Tampa, FL 33614
Phone (813) 352-9465

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJHGCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1619903507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092460",
            "telephone_number": "352-684-3300",
            "fax_number": "352-684-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3376 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092460",
            "telephone_number": "352-684-3300",
            "fax_number": "352-688-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "POONAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME93291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.