DR. ABHAY MALHOTRA M.D.
NPI 1073527859
Internal Medicine - Cardiovascular Disease in Smithtown, NY

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
76.14/100
CMS Quality Rating
496 SMITHTOWN BYP, SUITE 101, SMITHTOWN, NY 11787(631) 979-8880(631) 979-8064 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Abhay Malhotra M.d. NPPES

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

DR. ABHAY MALHOTRA M.D. (NPI 1073527859) is an individual cardiovascular disease provider in Smithtown, New York, licensed in New York (204152) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1073527859
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ABHAY MALHOTRACredential: M.D.
Location Address496 SMITHTOWN BYP, SUITE 101Smithtown, NY 11787-5005
Mailing Address496 Smithtown Byp, Suite 101Smithtown, NY 11787-5005 · (631) 979-8880 · Fax (631) 979-8064
Fax(631) 979-8064
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 28, 2006
Last NPPES UpdateDecember 8, 2008
NPI 1073527859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 204152
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
496 SMITHTOWN BYP, Smithtown, NY 11787

Other Identifiers 3

Medicare UPING41446NY
Medicaid01710181NY
Medicare PIN18N791NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Abhay Malhotra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294741906
PECOS Enrollment IDI20060303000338
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.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
830 services480 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
720 services460 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
464 services410 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
278 services141 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
273 services272 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
228 services56 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

76.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.63
Promoting Interoperability93
Improvement Activities40
Cost35.64

Reported Quality Measures

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%31 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
100%2,008 patients5/55-star benchmark: 100%
e-Prescribing
100%100 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
70%254 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%707 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
496 SMITHTOWN BYP
SMITHTOWN, NY 11787
Counselor (Mental Health)
496 SMITHTOWN BYP, SUITE 304
SMITHTOWN, NY 11787
Social Worker (Clinical)
496 SMITHTOWN BYP, SUITE 202
SMITHTOWN, NY 11787
Internal Medicine (Cardiovascular Disease)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Psychologist
496 SMITHTOWN BYP, #304
SMITHTOWN, NY 11787
Nurse Practitioner (Adult Health)
496 SMITHTOWN BYP, SUITE 200
SMITHTOWN, NY 11787
Internal Medicine (Interventional Cardiology)
496 SMITHTOWN BYP, SUITE 101
SMITHTOWN, NY 11787
Psychologist (Clinical Child & Adolescent)
496 SMITHTOWN BYP, SUITE 304
SMITHTOWN, NY 11787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abhay Malhotra's NPI number?

The NPI number for Abhay Malhotra is 1073527859. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Abhay Malhotra located?

Abhay Malhotra practices at 496 Smithtown Byp Suite 101, Smithtown, NY 11787. The listed phone number is (631) 979-8880.

What is Abhay Malhotra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Abhay Malhotra enrolled in Medicare?

Yes. Abhay Malhotra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Abhay Malhotra affiliated with any hospitals?

According to CMS data, Abhay Malhotra is affiliated with John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital, Suny/Stony Brook University Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Abhay Malhotra was last updated on December 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.