Active NPI
Malvinder S Makhni, MD
- Cardiovascular Disease Physician
- Jasper, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 70431-20
- Practice address
- 980 Highway 28
Suite 101
Jasper, TN 37347-3695 - Phone
- (423) 942-1415
- Fax
- (423) 942-1416
- NPI assigned
- Jun 15, 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 | 45663 | TN | |
| Cardiovascular Disease Physician | 207RC0000X | 70431-20 | WI | Primary |
Addresses
Primary practice location
980 Highway 28
Suite 101
Jasper, TN 37347-3695
Mailing address
980 Highway 28
Suite 101
Jasper, TN 37347-3695
Phone (423) 942-1415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517945 | Medicaid | TN | |
| 100084943 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170131001119 | FL | Practitioner - Internal Medicine | 4486781655 | Reassigns benefits to 2 organizations |
| I20190214000567 | WI | Practitioner - Cardiovascular Disease (Cardiology) | 4486781655 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70431-20 | WI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Sound Physicians of Florida IV, LLC | Current | Accepting new patients | |
| Makhni Cardiology and Medical Associates PA | Past | Accepting new patients | |
| Cookeville Regional Medical Group, Inc | Past | Accepting new patients |
Locations
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
3100 E Fletcher Ave
#C
Tampa, FL 33613
29980 Network Pl
Chicago, IL 60673
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
3301 Cranberry Blvd
Weston, WI 54476
Phone (715) 393-2100
Interoperability endpoints
- https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
WI
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
FL
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- Internal Medicine Physician
- Port Orange, FL
- NPI 1861150625
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1235712415
-
- Multi-Specialty Clinic/Center
- Cookeville, TN
- NPI 1649202102
-
- Pediatrics Physician
- Jasper, TN
- NPI 1144546375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1790729697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 HIGHWAY 28",
"address_2": "SUITE 101",
"city": "JASPER",
"state": "TN",
"postal_code": "373473695",
"telephone_number": "423-942-1415",
"fax_number": "423-942-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 HIGHWAY 28",
"address_2": "SUITE 101",
"city": "JASPER",
"state": "TN",
"postal_code": "373473695",
"telephone_number": "423-942-1415",
"fax_number": "423-942-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKHNI",
"first_name": "MALVINDER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "45663",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "70431-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517945",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100084943",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.