Individual provider Active NPI

Malvinder S Makhni, MD

  • Cardiovascular Disease Physician
  • Jasper, TN
National Provider Identifier
1790729697
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
70431-20 Issued in WI
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

Updated by the provider on Feb 3, 2020

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 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

IdentifierTypeStateIssuer
1517945MedicaidTN
100084943MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
70431-20WIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Sep 3, 2018 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Dec 1, 2016 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 29, 2019 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Sep 3, 2018 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 29, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Dec 1, 2016 Accepting new patients
Makhni Cardiology and Medical Associates PA Past Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Apr 8, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.