DR. NEIL MALHOTRA MD
NPI 1881822591
Emergency Medicine in Saginaw, MI

Active since July 01, 2009PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
1000 HOUGHTON AVE, SAGINAW, MI 48602(989) 583-6817 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Neil Malhotra Md NPPES

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

DR. NEIL MALHOTRA MD (NPI 1881822591) is an individual emergency medicine provider in Saginaw, Michigan, licensed in Michigan (4301095180) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Humboldt Park Health, and is a graduate of Michigan State University College Of Human Medicine (2009).

NPPES Registry Identity

NPI1881822591
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NEIL MALHOTRACredential: MD
Location Address1000 HOUGHTON AVESaginaw, MI 48602-5303
Mailing Address1000 Houghton AveSaginaw, MI 48602-5303
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2009
Enumeration DateJuly 1, 2009
NPI 1881822591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 4301095180
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 HOUGHTON AVE, Saginaw, MI 48602

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. Neil 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 ID1052560752
PECOS Enrollment IDI20121011000900, I20241115004035
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 6

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.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
262 services251 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services71 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
57 services57 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.
54 services54 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.
16 services16 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Humboldt Park Health

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140206
Location1044 N Francisco AveChicago, IL 60622 · Cook County
Emergency services Birthing friendly

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

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.

Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Pediatrics (Pediatric Endocrinology)
1000 HOUGHTON AVE
SAGINAW, MI 48602
Family Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Obstetrics & Gynecology
1000 HOUGHTON AVE
SAGINAW, MI 48602
Advanced Practice Midwife
1000 HOUGHTON AVE
SAGINAW, MI 48602
Internal Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Internal Medicine
1000 HOUGHTON AVE
SAGINAW, MI 48602
Internal Medicine (Infectious Disease)
1000 HOUGHTON AVE
SAGINAW, MI 48602

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 Neil Malhotra's NPI number?

The NPI number for Neil Malhotra is 1881822591. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Neil Malhotra located?

Neil Malhotra practices at 1000 Houghton Ave, Saginaw, MI 48602. The listed phone number is (989) 583-6817.

What is Neil Malhotra's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Neil Malhotra enrolled in Medicare?

Yes. Neil 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 Neil Malhotra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Neil 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 Neil Malhotra affiliated with any hospitals?

According to CMS data, Neil Malhotra is affiliated with Humboldt Park Health and Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Neil Malhotra was last updated on July 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.