Individual provider Active NPI

Suresh Kumar Malhotra, MD FACP

  • Gastroenterology Physician
  • Alexandria, VA
National Provider Identifier
1942370127
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101039563 Issued in VA
Practice address
4660 Kenmore Avenue
Suite 810
Alexandria, VA 22304
Phone
(703) 823-0333
Fax
(703) 823-8611
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X 0101039563 VA
Gastroenterology Physician 207RG0100X 0101039563 VA Primary

Addresses

Primary practice location

4660 Kenmore Avenue
Suite 810
Alexandria, VA 22304

Mailing address

4660 Kenmore Avenue
Suite 810
Alexandria, VA 22304
Phone (703) 823-0333

Other identifiers 1

IdentifierTypeStateIssuer
006051138MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20110603000107 DC Practitioner - Gastroenterology 9830169200 Reassigns benefits to 1 organization
I20210427001909 VA Practitioner - Gastroenterology 9830169200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 810
Alexandria, VA 22304-1300
Phone (703) 823-0333

Hospital & facility affiliations

  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

Merit-based Incentive Payment System (MIPS)

Final score
80.52 of 100Reported as group
Quality
56.13
Promoting interoperability
98
Improvement activities
40
Cost
80.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy51
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Anesthesia LLC Current Accepting new patients
Gastroenterology Associates of Northern Virginia, LLC Gastroenterology CurrentSince May 1, 2021 Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Alexandria Anesthesia Assoc, PLLC PastSince May 14, 2004 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

4660 Kenmore Ave
Ste 810
Alexandria, VA 22304
Phone (703) 823-0333

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Interoperability endpoints

  • Direct secure messaging: suresh.malhotra@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1942370127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVENUE",
            "address_2": "SUITE 810",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-823-0333",
            "fax_number": "703-823-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVENUE",
            "address_2": "SUITE 810",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-823-0333",
            "fax_number": "703-823-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "SURESH",
        "middle_name": "KUMAR",
        "credential": "MD FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "VA",
            "license": "0101039563",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101039563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006051138",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.