Individual provider Active NPI

Andrei Vladimirovitch Malko, M.D.

  • Hospitalist Physician
  • Huntington, WV
National Provider Identifier
1073076212
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
31161 Issued in WV
Practice address
2900 1St Ave RM 1025
Huntington, WV 25702-1241
Phone
(304) 399-7484
Fax
(304) 399-7484
NPI assigned
Apr 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 31161 WV Primary

Addresses

Primary practice location

2900 1St Ave RM 1025
Huntington, WV 25702-1241

Mailing address

2900 1St Ave RM 1025
Huntington, WV 25702-1241
Phone (304) 399-7484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrei.malko@scs.directstmarys.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20220923000238 WV Practitioner - Internal Medicine 3274863592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Hospitalist Services LLCGroup PAC ID 2062552763, 45 clinicians

Practice addresses (Care Compare)

2900 1St Ave
RM 1025
Huntington, WV 25702-1241
Phone (304) 399-7484

Hospital & facility affiliations

  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
362WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Hospitalist Services, LLC CurrentSince Sep 10, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Sep 1, 2022 Accepting new patients
Charleston Area Medical Center Inc PastSince Sep 1, 2022 Accepting new patients
St. Mary'S Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc PastSince Sep 1, 2022 Accepting new patients

Locations

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

3200 Maccorkle Ave SE
Fl 4
Charleston, WV 25304
Phone (304) 388-5590

3200 Maccorkle Ave SE
Ste B16
Charleston, WV 25304
Phone (304) 388-5848

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Rm 1025
Huntington, WV 25702
Phone (304) 399-7484

2900 1st Ave
#2E
Huntington, WV 25702
Phone (304) 399-2600

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/

Organizations & group practices 6

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 1

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": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1073076212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE RM 1025",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-399-7484",
            "fax_number": "304-399-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE RM 1025",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-399-7484",
            "fax_number": "304-399-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKO",
        "first_name": "ANDREI",
        "middle_name": "VLADIMIROVITCH",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "31161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrei.malko@scs.directstmarys.org",
            "affiliation": "N",
            "address_1": "2900 1st Ave Rm 1025",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.