Active NPI
Amit Malhotra, M.D.
- Interventional Cardiology Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 19492
- Practice address
- 391 Southcrest Cir
Suite 200
Southaven, MS 38671-6730 - Phone
- (901) 271-1000
- Fax
- (901) 271-4187
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36555 | TN | |
| Interventional Cardiology Physician | 207RI0011X | 19492 | MS | Primary |
Addresses
Primary practice location
391 Southcrest Cir
Suite 200
Southaven, MS 38671-6730
Mailing address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06120013401 | Other | QUALCHOICE | |
| 000379332 | Other | TN | RAIL ROAD MEDICARE |
| 4146200 | Other | TN | BCBS |
| 7019599 | Other | TN | AETNA |
| 84389 | Other | AR | BCBS |
| P00372262 | Other | MS | RAIL ROAD MEDICARE |
| 03907881 | Medicaid | MS | |
| 27550 | Other | TN | TLC |
| 3892297 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040420000582 | TN | Practitioner - Interventional Cardiology | 7315932019 | Reassigns benefits to 2 organizations |
| I20070103000363 | MS | Practitioner - Interventional Cardiology | 7315932019 | Reassigns benefits to 2 organizations |
| I20181217000551 | AR | Practitioner - Interventional Cardiology | 7315932019 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stern Cardiovascular Center, PAStern Cardiovascular Foundation, Inc
Practice addresses (Care Compare)
302 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 271-1000
391 Southcrest Cir
Suite 200
Southaven, MS 38671-6729
Phone (901) 271-1000
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Hospital & facility affiliations
- Baptist Memorial Hospital Desoto
- Baptist Memorial Hospital-Crittenden, Inc
- Baptist Memorial Hospital
- Baptist Memorial Hospital Union County
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36555 | TN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stern Cardiovascular Center, PA | Cardiovascular Disease | Current | Accepting new patients |
| Memphis Heart Clinic | Cardiovascular Disease | Past | Accepting new patients |
Locations
4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820
302 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1800
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
100 Baptist Memorial Cir
Ste 201
Oxford, MS 38655
Phone (662) 574-5293
7362 Southcrest Pkwy
Southaven, MS 38671
Phone 90127110002272
391 Southcrest Cir
Ste 200
Southaven, MS 38671
Phone (662) 349-1900
8060 Wolf River Blvd
Memphis, TN 38138
Phone (901) 271-2272
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
5959 Park Ave
Fl 2
Memphis, TN 38119
Phone (901) 765-2057
6025 Walnut Grove Rd
Ste 111
Memphis, TN 38120
Phone (901) 226-2000
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Interoperability endpoints
- amalhotra22514@mlh.direct-ci.com
- amalhotra5312@direct.bmhcc.org
- amitmalhotra@stern.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1699790311
AR, Cardiovascular Disease, MS, TN
-
- Cardiovascular Disease Physician
- Germantown, TN
- NPI 1316242266
AR, MS, TN
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1548235104
Cardiovascular Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
Hospital
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1699724294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 SOUTHCREST CIR",
"address_2": "SUITE 200",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386716730",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "AMIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "36555",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MS",
"license": "19492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "06120013401",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "000379332",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4146200",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7019599",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "84389",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00372262",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03907881",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC",
"identifier": "27550",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3892297",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.