NPIMap

Individual provider Active NPI

Alexa Maureen Mieses Malchuk, M.D.

  • Family Medicine Physician
  • Bellefonte, PA
National Provider Identifier
1114380797
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD488453 Issued in PA
Practice address
226 Buckaroo LN
Bellefonte, PA 16823-9120
Phone
(814) 353-3519
Fax
(814) 353-3500
NPI assigned
Apr 1, 2016
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019-01197 NC
Family Medicine Physician 207Q00000X MD488453 PA Primary

Addresses

Primary practice location

226 Buckaroo LN
Bellefonte, PA 16823-9120

Mailing address

100 N Academy Ave
Danville, PA 17822-9800
Phone (814) 353-3519

Other practice location 1

2301 Erwin Rd
Durham, NC 27705-4699
Phone (919) 684-8111

Other practice location 2

3708 Mayfair St.
Suite 100
Durham, NC 27707
Phone (984) 215-4780

Other practice location 3

720 Fenton Market Way Ste 140
Cary, NC 27511-7750
Phone (888) 663-6331

Other names 1

  • Alexa Maureen Mieses Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190916002966 NC Practitioner - Family Practice 6002145000 Reassigns benefits to 1 organization
I20250414000732 PA Practitioner - Family Practice 6002145000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Icahn School of Medicine at Mount Sinai, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

226 Buckaroo Lane
Bellefonte, PA 16823-9120
Phone (814) 353-3519

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD488453PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Apr 1, 2025 Accepting new patients
Geisinger Clinic Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Geisinger Clinic GYN Onc Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

590 Manning Dr
Chapel Hill, NC 27599
Phone (919) 966-0210

3708 Mayfair St
Ste 100
Durham, NC 27707
Phone (984) 215-4780

226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: amieses113357@directhisp.wakemed.org
  • Direct secure messaging: amiesesmalchuk641413@direct.geisinger.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1114380797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "814-353-3519",
            "fax_number": "570-353-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BUCKAROO LN",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "168239120",
            "telephone_number": "814-353-3519",
            "fax_number": "814-353-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277054699",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3708 Mayfair St.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "27707",
            "country_code": "US",
            "telephone_number": "984-215-4780",
            "fax_number": "984-215-4785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Fenton Market Way Ste 140",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275117750",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIESES MALCHUK",
        "first_name": "ALEXA",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-01197",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD488453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "MIESES",
            "middle_name": "MAUREEN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellefonte, PA

Sources for this page

Verify at the official NPI Registry.