Active NPI
George S. Malouf, M.D., P.a.
- Ophthalmology Physician
- Camp Springs, MD
National Provider Identifier
1124010962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- GEORGE S. MALOUF, M.D., P.A.
- Practice address
- 4400 Telfair Blvd Ste D
Camp Springs, MD 20746-5217 - Phone
- (301) 423-5252
- Fax
- (301) 423-2414
- NPI assigned
- Aug 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Sudama
- Title
- Office Manager
- Phone
- (301) 423-5252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4400 Telfair Blvd Ste D
Camp Springs, MD 20746-5217
Mailing address
4400 Telfair Blvd Ste D
Camp Springs, MD 20746-5217
Phone (301) 423-5252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 984031101 | Medicaid | MD | |
| 2294 | Other | DC | BCBS |
| KW77GE | Other | MD | BCBS |
Other names 1
- Malouf Eye Center
National Provider Directory
National Provider DirectoryLocations
17000 Science Dr
Ste 106
Bowie, MD 20715
Phone (301) 805-9200
5802 Baltimore Ave
Hyattsville, MD 20781
Phone (301) 277-9161
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1124010962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 TELFAIR BLVD STE D",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207465217",
"telephone_number": "301-423-5252",
"fax_number": "301-423-2414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 TELFAIR BLVD STE D",
"city": "CAMP SPRINGS",
"state": "MD",
"postal_code": "207465217",
"telephone_number": "301-423-5252",
"fax_number": "301-423-2414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE S. MALOUF, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SUDAMA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-423-5252",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "984031101",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2294",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "KW77GE",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Malouf Eye Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camp Springs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.