Active NPI
Marshall P. Mallory, M.D.
- Diagnostic Radiology Physician
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12378
- Practice address
- 20 Indian Pine Trce W
Gadsden, AL 35901-7240 - Phone
- (888) 318-8900
- Fax
- (408) 370-9131
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 244168 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 12378 | AL | Primary |
Addresses
Primary practice location
20 Indian Pine Trce W
Gadsden, AL 35901-7240
Mailing address
PO Box 320757
Los Gatos, CA 95032-0112
Phone (888) 318-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, NY, MD, DC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050211000851 | AL | Practitioner - Diagnostic Radiology | 4789636267 | Reassigns benefits to 1 organization |
| I20220301000588 | NY | Practitioner - Diagnostic Radiology | 4789636267 | Reassigns benefits to 2 organizations |
| I20221219001503 | MD | Practitioner - Diagnostic Radiology | 4789636267 | Reassigns benefits to 1 organization |
| I20230807001628 | DC | Practitioner - Diagnostic Radiology | 4789636267 | Reassigns benefits to 3 organizations |
| I20251009001517 | FL | Practitioner - Diagnostic Radiology | 4789636267 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Georgia School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-6000
2401 W Belvedere Ave
LBH Medical Group Teleradiology
Baltimore, MD 21215-5216
Phone (410) 601-9000
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000
9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074
Hospital & facility affiliations
- Adventist Healthcare White Oak Medical Center
- Adventist Healthcare Shady Grove Medical Center
- Henry Ford Health St John Hospital
- Holy Cross Hospital
- Flushing Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.23 of 100
- Quality
- 60.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12378 | AL | MD | Diagnostic Radiology Physician |
| 244168 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Adventist Physician Services, Inc. | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| TJH Medical Services, P.C. | Current | Accepting new patients | |
| Eastpointe Radiologists, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Blackwell Physicians, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations (25 of 29)
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
2401 W Belvedere Ave
Baltimore, MD 21215
820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170
13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100
21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000
64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483
4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631
11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
Interoperability endpoints
- mmallory1139968@direct.hfhs.org
Organizations & group practices 15
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.
-
- Diagnostic Radiology Physician
- Rockville, MD
- NPI 1932772589
DC, Diagnostic Radiology
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
NY
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
MD
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Physical Medicine & Rehabilitation Physician
- Gaithersburg, MD
- NPI 1376623207
DC
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
AL, Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1881642056
Diagnostic Radiology
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
-
- Family Medicine Physician
- Clarksville, MD
- NPI 1437528551
-
- Specialist
- Lima, OH
- NPI 1457474900
Hospital & facility affiliations 7
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": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1083620447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 320757",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950320112",
"telephone_number": "888-318-8900",
"fax_number": "408-370-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 INDIAN PINE TRCE W",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359017240",
"telephone_number": "888-318-8900",
"fax_number": "408-370-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLORY",
"first_name": "MARSHALL",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "244168",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "12378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.