SUNIL PRAKASH MALHOTRA MD
NPI 1063568665
Thoracic Surgery (Cardiothoracic Vascular Surgery) in San Antonio, TX

Q: What is Sunil Malhotra's NPI number?

The NPI number for Sunil Malhotra is 1063568665. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Sunil Malhotra's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Malhotra was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2007PECOS Enrolled

98.06/100

CMS Quality Rating

4410 MEDICAL DR STE 540, SAN ANTONIO, TX 78229(210) 575-6240 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sunil Prakash Malhotra Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNIL PRAKASH MALHOTRA MD (NPI 1063568665) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in San Antonio, Texas, licensed in Texas (V5021) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063568665

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameSUNIL PRAKASH MALHOTRACredential: MD

Location Address4410 MEDICAL DR STE 540San Antonio, TX 78229-3755

Mailing Address4410 Medical Dr Ste 540San Antonio, TX 78229-3755 · (210) 575-6240 · Fax (210) 575-6280

Phone(210) 575-6240

Sole ProprietorNo

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJanuary 13, 2025

NPPES CertifiedJanuary 13, 2025

✔ NPI 1063568665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in TX · V5021✔ Licensed in NY · 212623✔ Licensed in FL · ME103129

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

4410 MEDICAL DR STE 540, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunil Prakash Malhotra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Sunil Malhotra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Physician Practices, PLLC

5.6 mi

Surgery

15727 ANTHEM PKWY STE 600
San Antonio, TX 78249

Reassigned Medicare billing, Texas enrollment
227 clinicians in this Medicare group

NPI 1922252717 (210) 575-8501

Maine Medical Partners

1,834 mi

Cardiovascular Disease

96 CAMPUS DR, SUITE 1
Scarborough, ME 04074

Reassigned Medicare billing, Maine enrollment
Also billed through NPI 1346687167 (Maine)
229 clinicians in this Medicare group

NPI 1386937175 (207) 885-9905

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AIMEE CARLSON CPNP

Nurse Practitioner