SMITA MALHOTRA (DPM) – Podiatrist, NPI 1174511018

SMITA MALHOTRA (DPM) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in Podiatrist. They hold the professional credentials DPM. They hold a License No. PO3096 (FL). The NPI Number for SMITA MALHOTRA (DPM) is 1174511018

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
SMITA MALHOTRA (DPM)
NPI
1174511018
Phone
(904) 285-9355
Address
1100 SAWGRASS VILLAGE DR
Enumeration Date
13 October 2005
Last Update Date
16 November 2015

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9043082006
Graduation Year
2002 (24 years ago)
PAC ID
9133150782
Group Practice PAC ID
2860411188
Professional Enrollment ID
I20050824000309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SMITA MALHOTRA (DPM)

  • 1100, Sawgrass Village Drive, Palm Valley, Ponte Vedra Beach, Saint Johns County, Florida, 32082, United States

    STE 100

    PONTE VEDRA BEACH, FL 320825048

    Phone: (904) 285-9355

    Fax: (904) 285-7442

    Type: Location

  • PO BOX 551380

    JACKSONVILLE, FL 322551380

    Phone: (904) 285-9355

    Fax: (904) 285-7442

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050824000309IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860411188View full group profile

Reviews

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Frequently asked questions

What is the registry number for SMITA MALHOTRA (DPM)?
The registry entry for SMITA MALHOTRA (DPM) shows NPI 1174511018.
Is SMITA MALHOTRA (DPM)'s NPI status active today?
Active status means SMITA MALHOTRA (DPM)'s NPI record is not deactivated in the public file.
What does the directory say SMITA MALHOTRA (DPM) does?
Insurance directories may phrase it differently, but here SMITA MALHOTRA (DPM) maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SMITA MALHOTRA (DPM)?
SMITA MALHOTRA (DPM) is associated with Ponte Vedra Beach, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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