Stanislav Malov, M.D.

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

D0055905 Issued in MD

Practice address

1500 E Gude Dr
Rockville, MD 20850-5307

Phone

(240) 777-1680

NPI assigned

Aug 2, 2005

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stanislav.malov.p1@direct.mcg-hhs.nextgenshare.com

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.

• Montgomery County Maryland Government

  dba Adult Behavioral Health Clinic

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1104946482

  DC

  Medicare reassignment NPD
• Montgomery County Maryland Government

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1326939570
  NPD
• Montgomery County Maryland Government

  dba Child and Adolescent Mental Health Clinic

  • Adolescent and Children Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1588785216
  NPD

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1093716854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E GUDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505307",
            "telephone_number": "240-777-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E GUDE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505307",
            "telephone_number": "240-777-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 Rollins Ave, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "20852",
            "country_code": "US",
            "telephone_number": "240-777-3444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212046808",
            "country_code": "US",
            "telephone_number": "410-296-4616 x203",
            "fax_number": "410-337-5068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOV",
        "first_name": "STANISLAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0055905",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "MD",
            "license": "D0055905",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "D0055905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485601500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "D0055905",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Ellis Malone, M.D.
• Dolores Maloney, PT
• Meghan Maloney
• Renee W Maloney, FNP-C
• Maia Malos
• Rebecca Lynn Mals
• Elsa Christina Maltese
• Swapnil Malthane
• Michael Joseph Malvini, OTR, L
• Francina Kudzayi Mambo, P.T.

• Anesthesiology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.