DR. MALLIKA GOVINDAN MD
NPI 1124647540
Family Medicine in Long Island City, NY

Q: What is Mallika Govindan's NPI number?

The NPI number for Mallika Govindan is 1124647540. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Mallika Govindan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mallika Govindan was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 15, 2020PECOS Enrolled

36-11 21ST STREET, LONG ISLAND CITY, NY 11106(718) 482-7772(718) 482-9648 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2026, Apr 15, 2020 (2 updates tracked since 2020).

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About Dr. Mallika Govindan Md NPPES

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

DR. MALLIKA GOVINDAN MD (NPI 1124647540) is an individual family medicine provider in Long Island City, New York, licensed in New York (324315-01) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124647540

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MALLIKA GOVINDANCredential: MD

Location Address36-11 21ST STREETLong Island City, NY 11106-4505

Mailing Address44 W 28th St Fl 5New York, NY 10001-4212 · (212) 545-2409 · Fax (212) 463-8411

Phone(718) 482-7772

Fax(718) 482-9648

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 15, 2020

Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2026

✔ NPI 1124647540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 324315-01

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

36-11 21ST STREET, Long Island City, NY 11106

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Secondary Practice Locations 14

Location 189-44 164th StreetJamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833

Location 281 W 115th StNew York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367

Location 3511 West 157th StreetNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963

Location 41167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8159

Location 5999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795

Location 61002 Westchester AvenueBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829

Location 71880 Bathgate AvenueBronx, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468

Location 82581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840

Location 9255 East HoustonNew York, NY 10002-2301 · Phone (212) 477-1120 · Fax (212) 477-8957

Location 101468 Madison AveNew York, NY 10029-6508 · Phone (212) 241-6500

Location 111824 Madison AveNew York, NY 10035-3832 · Phone (212) 423-4500 · Fax (646) 770-8405

Location 12350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556 · Fax (646) 935-4665

Location 13504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130

Location 1494-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mallika Govindan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496236218

PECOS Enrollment IDI20260219003533

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 Reassignment

Medicare enrollment records show Mallika Govindan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Healthcare Network, Inc

2.9 mi

Federally Qualified Health Center (FQHC)

44 W 28TH STREET, FLOOR 5
New York, NY 10001

Reassigned Medicare billing, New York enrollment
112 clinicians in this Medicare group

NPI 1477764496 (212) 545-2439

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 11106 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 11

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

SUTHASENTHURAN KANAGALINGAM M.D.

Student in an Organized Health Care Education/Training Program

36-11 21ST STREET
LONG ISLAND, NY 11106

Queens County (646) 226-5213

MIKAYLA JAY CHOULJIAN CNM

Midwife

36-11 21ST STREET
LONG ISLAND CITY, NY 11106

Queens County (718) 482-7772

DR. SAMEERA ISHAQ-KHAN MD

Student in an Organized Health Care Education/Training Program

36-11 21ST STREET
LONG ISLAND CITY, NY 11106

Queens County (212) 545-6213

NAZISH PERVEZ RD, CDN

Dietitian, Registered

36-11 21ST STREET
LONG ISLAND CITY, NY 11106

Queens County (718) 482-7772

MRS. AISHWARYA SADAGOPAN MBBS

Student in an Organized Health Care Education/Training Program

36-11 21ST STREET
LONG ISLAND CITY, NY 11106

Queens County (212) 545-6213

DR. ADENIYI ODUNAYO FAGBENRO MD

Student in an Organized Health Care Education/Training Program

36-11 21ST STREET
LONG ISLAND, NY 11106

Queens County (646) 226-5213

JASHVINI AMIRTHALINGAM M.D.

Student in an Organized Health Care Education/Training Program

36-11 21ST STREET
LONG ISLAND, NY 11106

Queens County (718) 482-9648

NOEMI ANNE CHARNOW M.D.

Pediatrics

36-11 21ST STREET
LONG ISLAND CITY, NY 11106

Queens County (718) 482-7772

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 Mallika Govindan's NPI number?

The NPI number for Mallika Govindan is 1124647540. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Mallika Govindan located?

Mallika Govindan practices at 36-11 21st Street, Long Island City, NY 11106. The listed phone number is (718) 482-7772.

What is Mallika Govindan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mallika Govindan enrolled in Medicare?

Yes. Mallika Govindan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallika Govindan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallika Govindan reassigns Medicare benefits to Community Healthcare Network, Inc (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallika Govindan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallika Govindan was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.