Individual provider Active NPI

Michael Patrick Malone, OD

  • Optometrist
  • Topeka, KS
National Provider Identifier
1023046836
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11433 Issued in KS
Practice address
2144 SW 36TH St
Topeka, KS 66611-2554
Phone
(785) 266-1010
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11433 KS Primary

Addresses

Primary practice location

2144 SW 36TH St
Topeka, KS 66611-2554

Mailing address

2144 SW 36TH St
Topeka, KS 66611-2554
Phone (785) 266-1010

Other identifiers 1

IdentifierTypeStateIssuer
3154052101MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330001021 KS Practitioner - Optometry 8729034996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atteberry Eye Centers LLCGroup PAC ID 5496871824, 9 clinicians

Practice addresses (Care Compare)

5100 Bob Billings Pkwy
Suite 100
Lawrence, KS 66049-4094
Phone (785) 841-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11433KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Atteberry Eye Centers LLC Optometrist CurrentSince Jan 29, 2020 Accepting new patients
Atteberry Eye Centers LLC Optometrist CurrentSince Jan 29, 2020 Accepting new patients

Locations

5100 Bob Billings Pkwy
Ste 100
Lawrence, KS 66049
Phone (785) 841-2020

2144 SW 36th St
Topeka, KS 66611
Phone (785) 266-1010

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1023046836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 SW 36TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112554",
            "telephone_number": "785-266-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 SW 36TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112554",
            "telephone_number": "785-266-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "11433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3154052101",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.