Individual provider Active NPI

Malti Bhamrah, DO

  • Pulmonary Disease Physician
  • Glendale, AZ
National Provider Identifier
1689106809
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
010660 Issued in AZ
Practice address
13606 N 59TH Ave Ste 1
Glendale, AZ 85304-1271
Phone
(602) 889-1099
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 010660 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

13606 N 59TH Ave Ste 1
Glendale, AZ 85304-1271

Mailing address

13606 N 59TH Ave Ste 1
Glendale, AZ 85304-1271
Phone (602) 978-6100

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
I20231027001654 AZ Practitioner - Critical Care (Intensivists) 2961858998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Arizona College of Osteopathic Medicine Mid Western University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paseo Medical Specialists LLCGroup PAC ID 7618956970, 3 clinicians

Practice addresses (Care Compare)

13606 N 59TH Ave
Suite 1
Glendale, AZ 85304-1271
Phone (602) 978-6100

Merit-based Incentive Payment System (MIPS)

Final score
91.87 of 100Reported as group
Quality
95.68
Improvement activities
40
Cost
74.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paseo Medical Specialists LLC Multi-Specialty CurrentSince Sep 25, 2023 Accepting new patients

Locations

13606 N 59th Ave
Ste 1
Glendale, AZ 85304
Phone (602) 978-6100

Interoperability endpoints

  • Direct secure messaging: malti.bhamrah.p1@direct.appss.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1689106809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 N 59TH AVE STE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041271",
            "telephone_number": "602-978-6100",
            "fax_number": "602-978-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13606 N 59TH AVE STE 1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041271",
            "telephone_number": "602-889-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMRAH",
        "first_name": "MALTI",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "010660",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.