Individual provider Active NPI

Megan Kathleen Maloney, PA-C

  • Surgical Physician Assistant
  • Elkhart, IN
National Provider Identifier
1124429261
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10001709A Issued in IN
Practice address
2310 California Rd Ste a
Elkhart, IN 46514-1228
Phone
(574) 264-0791
NPI assigned
Sep 9, 2014
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10001709A IN Primary

Addresses

Primary practice location

2310 California Rd Ste a
Elkhart, IN 46514-1228

Mailing address

2310 California Rd Ste a
Elkhart, IN 46514-1228
Phone (574) 264-0791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107001536 IN Practitioner - Physician Assistant 0749503340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1775 E Kercher Rd
Orthopedic and Sports Medicine Center
Goshen, IN 46526-6308
Phone (574) 533-0300

2310 California Rd
Elkhart, IN 46514-1228
Phone (574) 264-0791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
59.71
Promoting interoperability
90
Improvement activities
40
Cost
88.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince May 12, 2021 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana Inc CurrentSince May 12, 2021 Accepting new patients
ASC Surgical Ventures, LLC Past Accepting new patients

Locations

1720 Fulton St
Elkhart, IN 46514

2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791

2310 California Rd
Ste A
Elkhart, IN 46514
Phone (574) 206-1401

1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300

600 N Main St
Middlebury, IN 46540
Phone (574) 825-8685

3000 N Main St
Nappanee, IN 46550
Phone (574) 773-2499

Interoperability endpoints

  • Direct secure messaging: megan.maloney.p2@direct.osmc.nextgenshare.com

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1124429261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CALIFORNIA RD STE A",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141228",
            "telephone_number": "574-264-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "MEGAN",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001709A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.