DR. GURVEEN PAL SINGH MALHOTRA M.D.
NPI 1154671741
Internal Medicine - Pulmonary Disease in Carbondale, IL

Active since September 11, 2012PECOS Enrolled
75.73/100
CMS Quality Rating
305 W JACKSON ST STE 301, CARBONDALE, IL 62901(618) 529-0520(618) 529-0519 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2023, Jan 29, 2021, Jun 30, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Gurveen Pal Singh Malhotra M.d. NPPES

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

DR. GURVEEN PAL SINGH MALHOTRA M.D. (NPI 1154671741) is an individual pulmonary disease provider in Carbondale, Illinois, licensed in Illinois (036140270) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154671741
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. GURVEEN PAL SINGH MALHOTRACredential: M.D.
Location Address305 W JACKSON ST STE 301Carbondale, IL 62901-1474
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 529-0519
Sole ProprietorYes
Enumeration DateSeptember 11, 2012
Last NPPES UpdateJuly 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
NPI 1154671741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in IL · 036140270
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036140270 (IL)
305 W JACKSON ST STE 301, Carbondale, IL 62901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gurveen Pal Singh Malhotra M.d. 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.

Areas of Expertise CMS Part B claims 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
179 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
143 services58 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
140 services140 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
140 services140 patients
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.
87 services77 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
84 services84 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers13 claims26 services$1.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers14 claims14 services$111.41 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers17 claims27 services$40.43 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$19.63 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers13 claims13 services$20.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers25 claims117 services$2.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Pulmonary Disease)
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Urology
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Internal Medicine (Pulmonary Disease)
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Nurse Practitioner
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Nurse Practitioner
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Nurse Practitioner
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Physician Assistant
305 W JACKSON ST STE 301
CARBONDALE, IL 62901
Physician Assistant
305 W JACKSON ST STE 301
CARBONDALE, IL 62901

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 Gurveen Malhotra's NPI number?

The NPI number for Gurveen Malhotra is 1154671741. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Gurveen Malhotra located?

Gurveen Malhotra practices at 305 W Jackson St Ste 301, Carbondale, IL 62901. The listed phone number is (618) 529-0520.

What is Gurveen Malhotra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gurveen Malhotra enrolled in Medicare?

Yes. Gurveen Malhotra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gurveen Malhotra was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.