NPIMap

Individual provider Active NPI

Shailaja Malhotra, M.D.

  • Internal Medicine Physician
  • Midlothian, VA
National Provider Identifier
1972572543
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230460 Issued in VA
Practice address
13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056
Phone
(804) 739-1757
Fax
(804) 739-0321
NPI assigned
Mar 16, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101230460 VA Primary

Addresses

Primary practice location

13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056

Mailing address

9460 Amberdale Dr
Suite a
North Chesterfield, VA 23236-1259
Phone (804) 818-7041

Other identifiers 3

IdentifierTypeStateIssuer
C02381OtherMEDICARE GROUP NUMBER
0101239800MedicaidVA
1972572543MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SHAILAJA.MALHOTRA@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000876 VA Practitioner - Family Practice 4385639038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

5855 Bremo Rd
Suite 306
Richmond, VA 23226-1923
Phone (804) 287-7650

9600 Patterson Ave
Richmond, VA 23229-6053
Phone (804) 741-6200

9642 Burke Lake Rd
Burke, VA 22015-3052
Phone (703) 543-7920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jun 18, 2023 Accepting new patients
Bon Secours St Mary's Hospital of Richmond LLC Internal Medicine CurrentSince Jun 18, 2023 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Harness Health Pharmacy - Central Pharmacy Services LLC Past Accepting new patients

Locations

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

9600 Patterson Ave
Richmond, VA 23229
Phone (804) 285-6818

Interoperability endpoints

  • Direct secure messaging: shailaja.malhotra@hca6.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1972572543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 AMBERDALE DR",
            "address_2": "SUITE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361259",
            "telephone_number": "804-818-7041",
            "fax_number": "804-785-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET RD",
            "address_2": "SUITE 4",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122056",
            "telephone_number": "804-739-1757",
            "fax_number": "804-739-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "SHAILAJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C02381",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101239800",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972572543",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SHAILAJA.MALHOTRA@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "13841 Hull Street Rd",
            "address_2": "SUITE 4",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231122056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.