Dennis Eugene Malecki, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

03652516 Issued in IL

Practice address

8700 W 95TH St
Suite 6
Hickory Hills, IL 60457-2700

Phone

(708) 430-2400

Fax

(708) 430-2417

NPI assigned

Aug 22, 2005

Last updated

May 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Healogics Specialty Physicians of Illinois, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Alton, IL
  • NPI 1215355110
  Medicare reassignment NPD
• Dennis E. Malecki M.D., S.C

  • Specialist
  • Hickory Hills, IL
  • NPI 1689693871
  Authorized official Same address or phone
• Alqaim Medical Associates Inc

  • General Practice Physician
  • Orland Park, IL
  • NPI 1932961240
  NPD (past)
• Excellent Health Care Services, Inc.

  • Cardiovascular Disease Physician
  • Orland Park, IL
  • NPI 1902957822
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1033101423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 W 95TH ST",
            "address_2": "SUITE 6",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572700",
            "telephone_number": "708-430-2400",
            "fax_number": "708-430-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 95TH ST",
            "address_2": "SUITE 6",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572700",
            "telephone_number": "708-430-2400",
            "fax_number": "708-430-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALECKI",
        "first_name": "DENNIS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "03652516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAIL ROAD MEDICARE",
            "identifier": "080037003",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "363137473",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052516",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loyola University Medical Center (Loyola University Home Infusion)
• Loyola University Medical Center
• Mable's Kitchen LTD
• Ramune R. Maciejauskas-Waters, D.D.S.
• Aysha Mahmood, MSW
• Mark 2 Supplies LLC
• Mark 2Speed LLC
• Mark Alpha Point LLC
• Mark Alpha Point LLC
• Mark2Speed LLC

• Specialist in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.