Active NPI
Sunil Malhotra, MD
- Internal Medicine Physician
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14796
- Practice address
- 470 Goodman Road
Southaven, MS 38671-9557 - Phone
- (662) 536-3330
- Fax
- (662) 536-3329
- NPI assigned
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14796 | MS | Primary |
Addresses
Primary practice location
470 Goodman Road
Southaven, MS 38671-9557
Mailing address
470 Goodman Rd E
Southaven, MS 38671-9557
Phone (662) 536-3330
Other practice location 1
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-2980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00117366 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050614001146 | MS | Practitioner - Internal Medicine | 2860436425 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunil Malhotra
Practice addresses (Care Compare)
470 Goodman Rd
Southaven, MS 38671-9557
470 Goodman Rd E
Southaven, MS 38671-9557
Hospital & facility affiliations
- Vitalcaring Group
- Accentcare Home Health of Greenwood
- Baptist Home Care and Hospice North Mississippi
- Shepherd Hospice Care, LLC
- Baptist Memorial Hospital Desoto
- Landmark of Desoto
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.78 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14796 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunil Malhotra MD LLC | Current | Accepting new patients | |
| Sunil Malhotra | Internal Medicine | Current | Accepting new patients |
| Desoto Community Care Center LLC | Past | Accepting new patients | |
| Baptist Memorial Hospital-Desoto, Inc, | Past | Accepting new patients |
Locations
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
470 Goodman Rd E
Southaven, MS 38671
Phone (662) 536-3330
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Landmark of Desoto | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jul 22, 2017 Jul 22, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Horn Lake, MS
- NPI 1831147677
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Southaven, MS
- NPI 1295289650
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- Skilled Nursing Facility
- Horn Lake, MS
- NPI 1831147677
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
Hospital
-
- Home Health Agency
- Batesville, MS
- NPI 1275068959
-
- Community Based Hospice Care Agency
- New Albany, MS
- NPI 1699397299
Hospice
-
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
-
- Home Health Agency
- Cleveland, MS
- NPI 1215244017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1841369907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719557",
"telephone_number": "662-536-3330",
"fax_number": "662-536-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 GOODMAN ROAD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719557",
"telephone_number": "662-536-3330",
"fax_number": "662-536-3329"
}
],
"practiceLocations": [
{
"address_1": "7601 Southcrest Pkwy",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714739",
"country_code": "US",
"telephone_number": "662-772-2980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALHOTRA",
"first_name": "SUNIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "14796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00117366",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.