Individual provider Active NPI

Amit Malhotra, M.D.

  • Interventional Cardiology Physician
  • Southaven, MS
National Provider Identifier
1699724294
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
19492 Issued in MS
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

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
06120013401OtherQUALCHOICE
000379332OtherTNRAIL ROAD MEDICARE
4146200OtherTNBCBS
7019599OtherTNAETNA
84389OtherARBCBS
P00372262OtherMSRAIL ROAD MEDICARE
03907881MedicaidMS
27550OtherTNTLC
3892297MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, AR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040420000582 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7315932019 Reassigns benefits to 2 organizations
I20070103000363 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315932019 Reassigns benefits to 2 organizations
I20181217000551 AR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (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, PAGroup PAC ID 2860390275, 126 clinicians
Stern Cardiovascular Foundation, IncGroup PAC ID 8123200540, 111 clinicians

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 Hospital, Southaven, MS, CCN 250141
  • Baptist Memorial Hospital-Crittenden, Inc Hospital, West Memphis, AR, CCN 040156
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36555TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stern Cardiovascular Center, PA Cardiovascular Disease CurrentSince Dec 1, 2025 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

  • Direct secure messaging: amalhotra22514@mlh.direct-ci.com
  • Direct secure messaging: amalhotra5312@direct.bmhcc.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.