GAGAN SINGH MALHI DO
NPI 1366070807
Family Medicine in Orinda, CA

Active since March 30, 2020PECOS EnrolledAccepts Medicare Assignment
12 CAMINO ENCINAS, ORINDA, CA 94563(510) 204-8166 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2025, Nov 20, 2025, Apr 2, 2020 (3 updates tracked since 2020).

About Gagan Singh Malhi Do NPPES

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

GAGAN SINGH MALHI DO (NPI 1366070807) is an individual family medicine provider in Orinda, California, licensed in California (20A24128) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366070807
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGAGAN SINGH MALHICredential: DO
Location Address12 CAMINO ENCINASOrinda, CA 94563-3304
Mailing Address49 Poplar LnHolmdel, NJ 07733-2785
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2020
Last NPPES UpdateDecember 24, 20253 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1366070807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A24128
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.
12 CAMINO ENCINAS, Orinda, CA 94563

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gagan Singh Malhi Do 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 ID5799135091
PECOS Enrollment IDI20231228003744, I20251230003806
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

2

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

Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 11

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.
200 services125 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 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.
54 services48 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.
46 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services30 patients
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.
23 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94563 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Family Medicine
12 CAMINO ENCINAS
ORINDA, CA 94563
Family Medicine
12 CAMINO ENCINAS
ORINDA, CA 94563
Internal Medicine
12 CAMINO ENCINAS
ORINDA, CA 94563
Obstetrics & Gynecology
12 CAMINO ENCINAS, SUITE 15
ORINDA, CA 94563
Family Medicine
12 CAMINO ENCINAS
ORINDA, CA 94563
Nurse Practitioner
12 CAMINO ENCINAS
ORINDA, CA 94563
Otolaryngology
12 CAMINO ENCINAS, SUITE 14
ORINDA, CA 94563
Internal Medicine
12 CAMINO ENCINAS, SUITE 6
ORINDA, CA 94563

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 Gagan Malhi's NPI number?

The NPI number for Gagan Malhi is 1366070807. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Gagan Malhi located?

Gagan Malhi practices at 12 Camino Encinas, Orinda, CA 94563. The listed phone number is (510) 204-8166.

What is Gagan Malhi's specialty?

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

Is Gagan Malhi enrolled in Medicare?

Yes. Gagan Malhi 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.

Which organizations bill Medicare for Gagan Malhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gagan Malhi reassigns Medicare benefits to 2 organizations: Sutter Bay Medical Foundation (Orinda, CA) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). Each 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 Gagan Malhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gagan Malhi accept?

Health plans from Oscar Health list Gagan Malhi 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 Gagan Malhi affiliated with any hospitals?

According to CMS data, Gagan Malhi is affiliated with Riverview Medical Center and Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Gagan Malhi was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.