Active NPI
Devika Malhotra, MD
- Pediatrics Physician
- Glendale, AZ
National Provider Identifier
1780098384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 62149
- Practice address
- 20221 N 67TH Ave Ste E3
Glendale, AZ 85308-0602 - Phone
- (623) 462-1981
- Fax
- (623) 400-3348
- NPI assigned
- Jun 12, 2014
- Last updated
- Apr 18, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 62149 | AZ | Primary |
Addresses
Primary practice location
20221 N 67TH Ave Ste E3
Glendale, AZ 85308-0602
Mailing address
11022 N 28TH Dr Ste 100
Phoenix, AZ 85029-5634
Phone (623) 462-1981
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidfinity PC | Pediatrics | Current | Accepting new patients |
Locations
20211 N 67th Ave
Ste E3
Glendale, AZ 85308
20221 N 67th Ave
Ste E3
Glendale, AZ 85308
Phone (602) 371-4978
11022 N 28th Dr
Ste 100
Phoenix, AZ 85029
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDCEDD/Endpoint/GDCEDD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1780098384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11022 N 28TH DR STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295634",
"telephone_number": "623-462-1981",
"fax_number": "623-400-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20221 N 67TH AVE STE E3",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080602",
"telephone_number": "623-462-1981",
"fax_number": "623-400-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "DEVIKA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "62149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.