Individual provider Active NPI

Rohit Malhotra, M.D.

  • Internal Medicine Physician
  • Avondale, AZ
National Provider Identifier
1659372225
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33419 Issued in AZ
Practice address
501 W Van Buren St Ste T
Avondale, AZ 85323-1307
Phone
(623) 932-9905
Fax
(623) 932-6901
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 33419 AZ Primary

Addresses

Primary practice location

501 W Van Buren St Ste T
Avondale, AZ 85323-1307

Mailing address

501 W Van Buren St Ste T
Avondale, AZ 85323-1307
Phone (623) 932-9905

Other identifiers 1

IdentifierTypeStateIssuer
894099MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20041201000762 AZ Practitioner - Internal Medicine 6709841794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

501 W Van Buren St
Suite T
Avondale, AZ 85323-1307
Phone (623) 386-9111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33419AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjivan PLLC Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients
Advanced Cardiac Specialists, Chartered Past Accepting new patients

Locations

501 W Van Buren St
Ste T
Avondale, AZ 85323
Phone (623) 386-9111

213 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 233-1330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1659372225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231307",
            "telephone_number": "623-932-9905",
            "fax_number": "623-386-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W VAN BUREN ST STE T",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231307",
            "telephone_number": "623-932-9905",
            "fax_number": "623-932-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "ROHIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-03-25",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894099",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.