Individual provider Active NPI

Michael Robert Malone, DO

  • Orthopaedic Surgery Physician
  • Corsicana, TX
National Provider Identifier
1073587101
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L7028 Issued in TX
Practice address
400 Hospital Dr
Ste 201
Corsicana, TX 75110-2489
Phone
(903) 641-4870
Fax
(903) 641-4877
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L7028 TX Primary

Addresses

Primary practice location

400 Hospital Dr
Ste 201
Corsicana, TX 75110-2489

Mailing address

400 Hospital Dr Ste 111
Corsicana, TX 75110-2489
Phone (903) 641-4895

Other identifiers 3

IdentifierTypeStateIssuer
160314402MedicaidTX
160314403MedicaidTX
8W4545OtherTXBLUE CROSS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.malone.1@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050708000823 TX Practitioner - Orthopedic Surgery 7618903956 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Sep 1, 2007 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Sep 1, 2007 Accepting new patients

Locations

400 Hospital Dr
Ste 111
Corsicana, TX 75110

400 Hospital Dr
Ste 201
Corsicana, TX 75110
Phone (903) 641-4870

301 Hospital Dr
Corsicana, TX 75110
Phone (903) 641-4800

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1073587101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR STE 111",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-4895",
            "fax_number": "903-641-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR",
            "address_2": "STE 201",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-4870",
            "fax_number": "903-641-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L7028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160314402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160314403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8W4545",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.malone.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "400 Hospital Dr",
            "address_2": "Ste 201",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751102489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.