Individual provider Active NPI

Andrew Malek, D.O.

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1104111806
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
13796 Issued in CA
Practice address
10120 S Eastern Ave
Henderson, NV 89052-3951
Phone
(702) 487-6880
NPI assigned
Jun 10, 2011
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 13796 CA Primary

Addresses

Primary practice location

10120 S Eastern Ave
Henderson, NV 89052-3951

Mailing address

257 Gold St
5P
Brooklyn, NY 11201-2034
Phone (818) 606-8566

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161027001946 CA Practitioner - Anesthesiology 6406134303 Reassigns benefits to 2 organizations
I20191104002054 NV Practitioner - Anesthesiology 6406134303 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada Anesthesiology Partners LLPGroup PAC ID 0244338531, 6 clinicians

Practice addresses (Care Compare)

8530 W Sunset Rd
Suite 100
Las Vegas, NV 89113-2244
Phone (702) 789-5700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Anesthesiology Partners, LLP Anesthesiology CurrentSince Oct 10, 2025 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 10, 2023 Accepting new patients
Madeira Anesthesia Malek, PLLC Anesthesiology Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 30, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 30, 2019 Accepting new patients
Anesthesia Oasis, LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Valley Anesthesiology Consultants-Beckett-PLLC Anesthesiology CurrentSince Jul 16, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Axiom Anesthesia Group Inc Anesthesiology CurrentSince Feb 16, 2019 Accepting new patients

Locations

2131 W 3rd St
Los Angeles, CA 90057
Phone (213) 484-5525

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

100 N Green Valley Pkwy
Ste 125
Henderson, NV 89074
Phone (702) 294-1230

10120 S Eastern Ave
Henderson, NV 89052
Phone (702) 361-9611

10120 S Eastern Ave
Ste 200
Henderson, NV 89052
Phone (702) 487-6880

10120 S Eastern Ave
Ste 230
Henderson, NV 89052
Phone (702) 487-6880

2565 E Flamingo Rd
Las Vegas, NV 89121
Phone (702) 697-7900

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

6402 McLeod Dr
Ste 2
Las Vegas, NV 89120
Phone (702) 325-1711

8530 W Sunset Rd
Ste 100
Las Vegas, NV 89113
Phone (702) 514-1411

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 9

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1104111806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 GOLD ST",
            "address_2": "5P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012034",
            "telephone_number": "818-606-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 S EASTERN AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523951",
            "telephone_number": "702-487-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "13796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.