NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1629089818
Verify on CMS → Pratibha Malhotra
Pediatrics Physician in Waukegan, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
218
Medicare Part D claims · Pediatrics Physician avg: 762
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Pratibha Malhotra filed 218 Medicare Part D claims in 2023 as a Pediatrics Physician in Waukegan, Illinois, prescribing 88% generic.
- 218
- Part D claims, 2023
- 88%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Pratibha Malhotra's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
218 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Pratibha Malhotra practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Pratibha Malhotra?
Quality data not reportedPrimary specialty
Pediatrics Physician
Medicare Part D claims
218 71% vs specialty avg
Specialty distribution in Illinois
How Pediatrics Physician compares to other specialties among Illinois providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatrics Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Pratibha Malhotra appears in the CMS NPPES registry as a Pediatrics Physician provider at 1401 W DUGDALE RD, Waukegan, IL, 60085, with a listed phone of (847) 249-0600. NPI 1629089818 was issued on 08/11/2006.
Medicare Part D records for calendar year 2023 show 218 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $9K in drug spend, split 12% brand-name and 88% generic by claim count.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1629089818 |
|---|---|
| Specialty | Pediatrics Physician |
| Gender | Female |
| NPI Issued | 08/11/2006 |
License & disciplinary context - Illinois IDFPR 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Pratibha Malhotra. To verify Pratibha Malhotra's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Pratibha Malhotra - brand share 12.0%
Pediatrics Physician average
12% brand-name claims vs 88% generic, on 218 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
218
Total Claims
$9K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 218
- Total Day Supply
- 5,924
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 57.5 years
- Avg HCC Risk Score
- 0.59
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Pratibha Malhotra prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonidine Hcl
Clonidine Hcl
39 claims
- Clonazepam
Clonazepam
16 claims
- Risperidone
Risperidone
16 claims
- Divalproex Sodium Er 14
Divalproex Sodium Er
14 claims
- Levothyroxine Sodium 14
Levothyroxine Sodium
14 claims
- Baclofen 13
Baclofen
13 claims
- Buspirone Hcl 13
Buspirone Hcl
13 claims
- Diltiazem 24hr Er 13
Diltiazem 24hr Er
13 claims
| Drug | Claims |
|---|---|
| Clonidine Hcl | 39 |
| Clonazepam | 16 |
| Risperidone | 16 |
| Divalproex Sodium Er Divalproex Sodium | 14 |
| Levothyroxine Sodium | 14 |
| Baclofen | 13 |
| Buspirone Hcl | 13 |
| Diltiazem 24hr Er Diltiazem Hcl | 13 |
| Fluticasone Propionate | 13 |
| Primidone | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Pratibha Malhotra fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Pratibha Malhotra's 218 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Malhotra.
Dr. Waleed Abbasi
M.D.
Rockford, IL
Aiah Abdel-Aal
Chicago, IL
Dr. Mahmoud Abdel-Ghani
MD
Springfield, IL
Dr. Eman Abdel-Latief
M.D.
Evanston, IL
Dr. Raid Abdulla
MD
Chicago, IL
Compare Pediatrics Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Pratibha Malhotra's specialty? ▼
Pratibha Malhotra specializes in Pediatrics Physician and practices in Waukegan, Illinois.
How much does Pratibha Malhotra prescribe under Medicare Part D? ▼
In 2023, Pratibha Malhotra wrote 218 Medicare Part D claims totaling $9K in drug costs for N/A beneficiaries.
Where is Pratibha Malhotra located? ▼
Pratibha Malhotra is located at 1401 W DUGDALE RD, Waukegan, IL, 60085. Phone: (847) 249-0600.
What is Pratibha Malhotra's NPI number? ▼
Pratibha Malhotra's National Provider Identifier (NPI) is 1629089818, issued on 08/11/2006.
Does Pratibha Malhotra prescribe more brand-name or generic drugs? ▼
Pratibha Malhotra's prescribing is 12% brand-name and 88% generic drugs by claim count, with $8K in brand drug costs.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Pratibha Malhotra prescribe most often? ▼
Based on 2023 Medicare Part D data, Pratibha Malhotra's most frequently prescribed drugs include Clonidine Hcl, Clonazepam, Risperidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pratibha Malhotra accept Medicare? ▼
Pratibha Malhotra appears in CMS Medicare data with 218 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pratibha Malhotra's credentials? ▼
Pratibha Malhotra's NPI is 1629089818. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.