NPIMap

Individual provider Active NPI

Mark Mumford Malkus, M.D.

  • Family Medicine Physician
  • Cambridge, MD
National Provider Identifier
1033286703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0050804 Issued in MD
Practice address
408 Byrn St
Cambridge, MD 21613-1910
Phone
(410) 228-1068
Fax
(410) 228-6338
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0050804 MD Primary

Addresses

Primary practice location

408 Byrn St
Cambridge, MD 21613-1910

Mailing address

408 Byrn St
Cambridge, MD 21613-1910
Phone (410) 228-1068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021001000 MD Practitioner - Internal Medicine 6901099027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailwinds Medical, LLCGroup PAC ID 6901271717, 7 clinicians

Practice addresses (Care Compare)

1000 Goodwill Ave
Cambridge, MD 21613-2972
Phone (443) 972-4204

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Coastal Hospice Inc Hospice, Salisbury, MD, CCN 211505
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0050804MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M.S. Shariff, M.D., P.a. CurrentSince Apr 1, 2019 Accepting new patients
Sailwinds Medical, LLC CurrentSince Apr 1, 2023 Accepting new patients
M.S. Shariff, M.D., P.a. CurrentSince Apr 1, 2019 Accepting new patients
Blackwater Medical Associates, LLC Family Medicine Past Accepting new patients
Sailwinds Medical, LLC Family Medicine Past Accepting new patients

Locations

105 Aurora St
Cambridge, MD 21613
Phone (410) 228-9515

1000 Goodwill Ave
Cambridge, MD 21613
Phone (443) 972-4204

560 Riverside Dr
#A103A106
Salisbury, MD 21801

560 Riverside Dr
Ste A106
Salisbury, MD 21801
Phone (410) 912-3616

Interoperability endpoints

  • Direct secure messaging: peninsula@direct.peninsula.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033286703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BYRN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131910",
            "telephone_number": "410-228-1068",
            "fax_number": "410-228-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BYRN ST",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131910",
            "telephone_number": "410-228-1068",
            "fax_number": "410-228-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKUS",
        "first_name": "MARK",
        "middle_name": "MUMFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0050804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

Verify at the official NPI Registry.