NPIMap

Individual provider Active NPI

Jan Malat, M.D.

  • Neuroradiology Physician
  • Naples, FL
National Provider Identifier
1083613996
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
ME61096 Issued in FL
Practice address
877 111TH Ave N
Suite 1
Naples, FL 34108-1866
Phone
(239) 594-8002
Fax
(239) 594-3447
NPI assigned
Jul 21, 2005
Last updated
Feb 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME61096 FL Primary

Addresses

Primary practice location

877 111TH Ave N
Suite 1
Naples, FL 34108-1866

Mailing address

877 111TH Ave N
Suite 1
Naples, FL 34108-1866
Phone (239) 594-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
ME61096FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open MRI of Naples, Inc. PastSince Feb 1, 2011 Accepting new patients
Crestview MRI PastSince Apr 30, 2003 Accepting new patients
Naples Radiologists, P.a. Past Accepting new patients
Florida Radiology Consultants P a Past Accepting new patients
Naples Diagnostic Imaging Center LTD Past Accepting new patients
Morgan Medical Corp Past Accepting new patients
Soca Imaging Inc PastSince Aug 20, 2009 Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1083613996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081866",
            "telephone_number": "239-594-8002",
            "fax_number": "239-594-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 111TH AVE N",
            "address_2": "SUITE 1",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081866",
            "telephone_number": "239-594-8002",
            "fax_number": "239-594-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAT",
        "first_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME61096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.