Active NPI
Jagadish C Malakar, M.D.
- Internal Medicine Physician
- Cortland, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 247103-1
- Practice address
- 129 Homer Ave
Cortland, NY 13045-1230 - Phone
- (607) 753-3355
- Fax
- (607) 753-8724
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 247103-1 | NY | Primary |
Addresses
Primary practice location
129 Homer Ave
Cortland, NY 13045-1230
Mailing address
129 Homer Ave
Cortland, NY 13045-1230
Phone (607) 753-3355
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247103-1 | Other | NY | LICENSE # |
| 01950467 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
129 Homer Ave
Cortland, NY 13045-1209
Phone (607) 753-3355
129 Homer Ave
Cortland, NY 13045-1230
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 753-3355
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247103-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortland Medical Care, PC | Internal Medicine | Current | Accepting new patients |
| Guthrie Cortland Medical Center | Past | Accepting new patients |
Locations
129 Homer Ave
Ste 1
Cortland, NY 13045
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.
-
- Internal Medicine Physician
- Cortland, NY
- NPI 1518165125
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ithaca, NY
- NPI 1962422733
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
- Home Health Agency
- Corning, NY
- NPI 1366860348
-
- Home Health Agency
- Cortland, NY
- NPI 1720402449
-
- Community Based Hospice Care Agency
- Ithaca, NY
- NPI 1730185737
-
- Home Health Agency
- Oneonta, NY
- NPI 1649575549
-
- Home Health Agency
- East Syracuse, NY
- NPI 1841585114
-
- Home Health Agency
- East Syracuse, NY
- NPI 1982978342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1700879640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 HOMER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451230",
"telephone_number": "607-753-3355",
"fax_number": "607-753-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 HOMER AVE",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451230",
"telephone_number": "607-753-3355",
"fax_number": "607-753-8724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALAKAR",
"first_name": "JAGADISH",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "247103-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "247103-1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01950467",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.