Active NPI
Rajesh Malhotra, M.D.
- Nephrology Physician
- Independence, MO
National Provider Identifier
1891748547
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective May 19, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 21122
- Practice address
- 17001 E Larkspur LN
Apt # 3
Independence, MO 64055-2108 - Phone
- (405) 808-0836
- Fax
- (405) 808-0836
- NPI assigned
- May 17, 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 21122 | OK | Primary |
| Internal Medicine Physician | 207R00000X | 47349 | MN |
Addresses
Primary practice location
17001 E Larkspur LN
Apt # 3
Independence, MO 64055-2108
Mailing address
17001 E Larkspur LN
Apt # 3
Independence, MO 64055-2108
Phone (405) 808-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100005370B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Lake Spine & Sport, PA | Past | Accepting new patients | |
| Oklahoma Cardiovascular Associates, PC | Past | Accepting new patients | |
| Ohh Physicians, LLC | Past | Accepting new patients | |
| Three Rivers Hospitalists PLLC | Past | Accepting new patients | |
| Physicians at Home, Inc. | Past | Accepting new patients | |
| Quantum Hospital Medicine Services of Texas PA | Internal Medicine | Past | Accepting new patients |
| Best Physicians at Home, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/threeri-78cadb4b
- https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
- https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4
- https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/FHIR/R4
Organizations & group practices 7
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 Practice Physician
- Chandler, OK
- NPI 1447659768
-
- Chiropractor
- Monticello, MN
- NPI 1295747889
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1598759730
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1487824595
-
- Hospitalist Physician
- Port Arthur, TX
- NPI 1568613024
Internal Medicine
-
- Hospitalist Physician
- Three Rivers, MI
- NPI 1942585880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1891748547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17001 E LARKSPUR LN",
"address_2": "APT # 3",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640552108",
"telephone_number": "405-808-0836",
"fax_number": "405-808-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17001 E LARKSPUR LN",
"address_2": "APT # 3",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640552108",
"telephone_number": "405-808-0836",
"fax_number": "405-808-0836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "RAJESH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OK",
"license": "21122",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "47349",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100005370B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.