Individual provider Active NPI

Rudy Mathew Malayil, M.D.

  • Interventional Pain Medicine Physician
  • Huntington, WV
National Provider Identifier
1114151347
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
TMP-02704 Issued in WV
Practice address
2900 1St Ave
Opc Suite 210
Huntington, WV 25702-1454
Phone
(304) 525-7246
Fax
(304) 526-1951
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 273568 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X D0077894 MD
Interventional Pain Medicine Physician 208VP0014X TMP-02704 WV Primary

Addresses

Primary practice location

2900 1St Ave
Opc Suite 210
Huntington, WV 25702-1454

Mailing address

PO Box 4190
Barboursville, WV 25504-4190
Phone (304) 399-4405

Other practice location 1

147 Willow Tree Way
Hurricane, WV 25526-1085
Phone (304) 397-3002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rudy.malayil@smmm.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150223000681 WV Practitioner - Physical Medicine and Rehabilitation 8325266760 Reassigns benefits to 2 organizations
I20170524002991 OH Practitioner - Physical Medicine and Rehabilitation 8325266760 Reassigns benefits to 2 organizations
I20220915001628 KY Practitioner - Pain Management 8325266760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management 360 LLCGroup PAC ID 9830567197, 4 clinicians

Practice addresses (Care Compare)

551 21St St
Huntington, WV 25703-1540
Phone (917) 935-7788

945 29TH St
Ashland, KY 41101-3021
Phone (855) 724-6360

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273568NYMDPain Medicine (Physical Medicine & Rehabilitation) Physician
TMP-02704WVMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Oct 1, 2022 Accepting new patients
Commonwealth Pain Associates, PLLC Interventional Pain Medicine CurrentSince Oct 1, 2022 Accepting new patients
St. Mary's Medical Management, LLC CurrentSince Feb 1, 2015 Accepting new patients
Pain Management 360 LLC Interventional Pain Medicine CurrentSince Jul 1, 2022 Accepting new patients
St. Mary's Medical Management, LLC CurrentSince Feb 1, 2015 Accepting new patients
Future Medical, PLLC PastSince Oct 1, 2022 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

945 29th St
Ashland, KY 41101
Phone (606) 326-9888

223 Executive Park
Louisville, KY 40207

255 Church St
Ste 101
Pikeville, KY 41501
Phone (606) 260-8613

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

1408 Campbell Dr
Ste 202
Ironton, OH 45638
Phone (740) 533-9750

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

2335 Chesterfield Ave
Ste 400
Charleston, WV 25304
Phone (304) 417-1255

2335 Chesterfield Ave
Ste 302
Charleston, WV 25304
Phone (304) 925-3535

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

551 21st St
Huntington, WV 25703
Phone (917) 935-7788

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2900 1st Ave
Ste 210
Huntington, WV 25702
Phone (304) 525-7246

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

400 Prestige Park Dr
#A1
Hurricane, WV 25526
Phone (304) 334-3551

400 Prestige Park Dr
#A
Hurricane, WV 25526
Phone (304) 562-1800

Interoperability endpoints

  • Direct secure messaging: rudy.malayil.1@27012.direct.athenahealth.com
  • Direct secure messaging: rudy.malayil@smmm.cernerdirect.com
  • Direct secure messaging: rudy.malayil.1@27556.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1114151347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4190",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255044190",
            "telephone_number": "304-399-4405",
            "fax_number": "304-399-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "address_2": "OPC SUITE 210",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021454",
            "telephone_number": "304-525-7246",
            "fax_number": "304-526-1951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Willow Tree Way",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255261085",
            "country_code": "US",
            "telephone_number": "304-397-3002",
            "fax_number": "304-397-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAYIL",
        "first_name": "RUDY",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "273568",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0077894",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WV",
            "license": "TMP-02704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rudy.malayil@smmm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2900 1st Ave",
            "address_2": "OPC Suite 210",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.