NPIMap

Individual provider Active NPI

Michael M Malmer, D.O.

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1073597472
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34005052 Issued in OH
Practice address
821 McCartney Rd
Youngstown, OH 44505-5000
Phone
(330) 743-4440
Fax
(330) 743-4488
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34005052 OH Primary

Addresses

Primary practice location

821 McCartney Rd
Youngstown, OH 44505-5000

Mailing address

821 McCartney Rd
Youngstown, OH 44505-5000
Phone (330) 743-4440

Other identifiers 4

IdentifierTypeStateIssuer
0928009MedicaidOH
1083828974OtherORGANIZATIONAL NPI
1205958519OtherORGANIZATIONAL NPI
E81732OtherUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050411000391 OH Practitioner - Internal Medicine 7517904683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

821 McCartney Rd
Youngstown, OH 44505-5000
Phone (330) 743-4440

Hospital & facility affiliations

  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5052OHMDOptometrist
34005052OHMDInternal Medicine Physician
005052OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Health Care, Inc Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Poland Medical Center LTD Current Accepting new patients
Foundation Health Care Inc. Internal Medicine CurrentSince Jan 1, 2007 Accepting new patients
Triad Health Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

755 Boardman Canfield Rd
Ste F5
Youngstown, OH 44512
Phone (330) 726-3806

821 McCartney Rd
Youngstown, OH 44505
Phone (330) 743-4440

6615 Clingan Rd
Ste D
Youngstown, OH 44514
Phone (330) 707-1425

6615 Clingan Rd
Ste A
Youngstown, OH 44514
Phone (330) 707-1425

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

Interoperability endpoints

  • Direct secure messaging: mmalmer34816@direct.bsmhealth.org

Organizations & group practices 8

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 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1073597472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055000",
            "telephone_number": "330-743-4440",
            "fax_number": "330-743-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 MCCARTNEY RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445055000",
            "telephone_number": "330-743-4440",
            "fax_number": "330-743-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALMER",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34005052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0928009",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1083828974",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1205958519",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E81732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.