DR. PREMILA MALHOTRA MD
NPI 1285848689
Internal Medicine - Hematology & Oncology in Macon, GA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
308 COLISEUM DR, SUITE 120, MACON, GA 31217(478) 745-6130(478) 745-4443 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Premila Malhotra Md NPPES

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

DR. PREMILA MALHOTRA MD (NPI 1285848689) is an individual hematology & oncology provider in Macon, Georgia, licensed in Georgia (055279) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1285848689
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PREMILA MALHOTRACredential: MD
Location Address308 COLISEUM DR, SUITE 120Macon, GA 31217-3865
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (478) 745-6130 · Fax (478) 745-4443
Fax(478) 745-4443
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
NPI 1285848689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in GA · 055279
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
308 COLISEUM DR, Macon, GA 31217

Other Identifiers 3

Medicaid594984700FGA
Medicaid594984700DGA
Medicaid594984700EGA

Accepted Insurance

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. Premila Malhotra Md 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 ID7012009418
PECOS Enrollment IDI20080730000498
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 16

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
12,000 services12 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
808 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
656 services267 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
331 services144 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.
249 services133 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
167 services118 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Referred Medical Equipment & Supplies CMS DME claims

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,016 services$0.55 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 20

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

Pharmacist
308 COLISEUM DR, SUITE 150
MACON, GA 31217
Dermatology (MOHS-Micrographic Surgery)
308 COLISEUM DR, SUITE 200
MACON, GA 31217
Physician Assistant
308 COLISEUM DR
MACON, GA 31217
Pharmacy (Community/Retail Pharmacy)
308 COLISEUM DR
MACON, GA 31217
Nurse Practitioner
308 COLISEUM DR, SUITE 120
MACON, GA 31217
Physician Assistant
308 COLISEUM DR, SUITE 200
MACON, GA 31217
Nurse Practitioner
308 COLISEUM DR, SUITE 120
MACON, GA 31217
Social Worker (Clinical)
308 COLISEUM DR, SUITE 120
MACON, GA 31217

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 Premila Malhotra's NPI number?

The NPI number for Premila Malhotra is 1285848689. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Premila Malhotra located?

Premila Malhotra practices at 308 Coliseum Dr Suite 120, Macon, GA 31217. The listed phone number is (478) 745-6130.

What is Premila Malhotra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Premila Malhotra enrolled in Medicare?

Yes. Premila 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.

What insurance does Premila Malhotra accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Premila Malhotra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Premila Malhotra affiliated with any hospitals?

According to CMS data, Premila Malhotra is affiliated with Atrium Health Navicent The Medical Center, Navicent Health Baldwin, Northside Hospital and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for Premila Malhotra was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.