DR. SHAILAJA MALHOTRA M.D.
NPI 1972572543
Internal Medicine in Midlothian, VA
Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
13841 HULL STREET RD, SUITE 4, MIDLOTHIAN, VA 23112(804) 739-1757(804) 739-0321 Get Directions Write a Review
About Dr. Shailaja Malhotra M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAILAJA MALHOTRA M.D. (NPI 1972572543) is an individual internal medicine provider in Midlothian, Virginia, licensed in Virginia (0101230460) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (1984).
NPPES Registry Identity
NPI1972572543
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAILAJA MALHOTRACredential: M.D.
Location Address13841 HULL STREET RD, SUITE 4Midlothian, VA 23112-2056
Mailing Address9460 Amberdale Dr, Suite ANorth Chesterfield, VA 23236-1259 · (804) 818-7041 · Fax (804) 785-5550
Phone(804) 739-1757
Fax(804) 739-0321
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMarch 16, 2006
Last NPPES UpdateJanuary 13, 20222 updates tracked since enumeration
✔ NPI 1972572543 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101230460
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13841 HULL STREET RD, Midlothian, VA 23112
Other Identifiers 3
Medicaid0101239800VA
Medicaid1972572543VA
OtherC02381Medicare Group Number
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. Shailaja Malhotra M.d. 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 ID4385639038
PECOS Enrollment IDI20040420000876
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 5
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.
416 services211 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.
145 services145 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.
68 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours St Marys Hospital
Acute Care Hospitals · Richmond, VAOwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly
Bon Secours Richmond Community Hospital
Acute Care Hospitals · Richmond, VAOwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services
Cjw Medical Center
Acute Care Hospitals · Richmond, VAOwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services
Henrico Doctors' Hospital
Acute Care Hospitals · Richmond, VAOwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services
Bon Secours St Francis Medical Center
Acute Care Hospitals · Midlothian, VAOwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23112 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.
Reported Quality Measures
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 10% · 248 patients
Patients 4MonthsOfStart: 9% · 217 patients
8%237 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%7,571 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%16,617 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%786 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
44%750 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%305 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%3,102 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
76%791 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%3,051 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
79%979 patients4/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
94%2,763 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%3,102 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
46%3,102 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
21%3,102 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 90% · 30 patients
Patients physicalActivity: 90% · 30 patients
97%30 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers59 claims125 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers28 claims30 services$0.97 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$176.99 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Dentist (General Practice)
13841 HULL STREET RD, SUITE #1
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
Dentist (Pediatric Dentistry)
13841 HULL STREET RD, SUITE 4
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
Dentist (Pediatric Dentistry)
13841 HULL STREET RD, SUITE 4
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
Dentist (Orthodontics and Dentofacial Orthopedics)
13841 HULL STREET RD, SUITE 4
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
Dentist (General Practice)
13841 HULL STREET RD, SUITE 4
MIDLOTHIAN, VA 23112
MIDLOTHIAN, VA 23112
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 Shailaja Malhotra's NPI number?
The NPI number for Shailaja Malhotra is 1972572543. It was assigned to this individual provider in the NPPES registry on March 16, 2006.
Where is Shailaja Malhotra located?
Shailaja Malhotra practices at 13841 Hull Street Rd Suite 4, Midlothian, VA 23112. The listed phone number is (804) 739-1757.
What is Shailaja Malhotra's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shailaja Malhotra enrolled in Medicare?
Yes. Shailaja 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.
Is Shailaja Malhotra affiliated with any hospitals?
According to CMS data, Shailaja Malhotra is affiliated with Bon Secours St Marys Hospital, Bon Secours Richmond Community Hospital, Cjw Medical Center, Henrico Doctors' Hospital and Bon Secours St Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Shailaja Malhotra was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Shailaja Malhotra, M.D. · NPI 1972572543
Internal Medicine physician in Midlothian, Virginia. Individual provider, active in the CMS NPPES registry since March 16, 2006.
## Identity
- **NPI:** 1972572543 (Entity type: Individual)
- **Enumerated:** March 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101230460 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 13841 HULL STREET RD, SUITE 4, Midlothian, VA 23112-2056
- **Phone:** (804) 739-1757 · **Fax:** (804) 739-0321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** January 13, 2022
- **Other identifiers:** Medicaid 0101239800 (VA); Medicaid 1972572543 (VA); Other C02381
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Source: [NPI Profile](https://npiprofile.com/npi/1972572543) · Data from the CMS NPPES public registry.