Individual provider Active NPI

Rajesh Malhotra, M.D.

  • Nephrology Physician
  • Independence, MO
National Provider Identifier
1891748547
Registry record updated Jul 16, 2013
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
21122 Issued in OK
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

Updated by the provider on Jul 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100005370BMedicaidOK

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Big Lake Spine & Sport, PA PastSince Oct 15, 2007 Accepting new patients
Oklahoma Cardiovascular Associates, PC Past Accepting new patients
Ohh Physicians, LLC PastSince Apr 22, 2024 Accepting new patients
Three Rivers Hospitalists PLLC Past Accepting new patients
Physicians at Home, Inc. PastSince Dec 17, 2012 Accepting new patients
Quantum Hospital Medicine Services of Texas PA Internal Medicine Past Accepting new patients
Best Physicians at Home, Inc PastSince Aug 18, 2014 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/threeri-78cadb4b
  • FHIR API: https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.