Individual provider Active NPI

Teresa Beth Malec, D.O.

  • Family Medicine Physician
  • Latrobe, PA
National Provider Identifier
1134419674
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS016890 Issued in PA
Practice address
1 Mellon Way
Latrobe Family Medicine Residency Program
Latrobe, PA 15650-1197
Phone
(724) 537-1485
NPI assigned
Apr 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016890 PA Primary

Addresses

Primary practice location

1 Mellon Way
Latrobe Family Medicine Residency Program
Latrobe, PA 15650-1197

Mailing address

1 Mellon Way
Latrobe Family Medicine Residency Program
Latrobe, PA 15650-1197
Phone (724) 537-1485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150105001450 PA Practitioner - Family Practice 8123341815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians

Practice addresses (Care Compare)

1450 Scalp Ave
Suite 1000
Johnstown, PA 15904-3335
Phone (814) 269-5200

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016890PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Medical CurrentSince Jul 15, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince May 4, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince May 4, 2020 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

100 Susan Dr
Johnstown, PA 15905
Phone (814) 255-1963

1450 Scalp Ave
Ste 1000
Johnstown, PA 15904
Phone (814) 269-5200

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1450 Scalp Ave
Johnstown, PA 15904
Phone (814) 266-1189

Interoperability endpoints

  • Direct secure messaging: tmalec14834@direct.conemaugh.org
  • Direct secure messaging: tmalec@f7c201b4.micromddirect.com

Organizations & group practices 5

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 1

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": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1134419674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MELLON WAY",
            "address_2": "LATROBE FAMILY MEDICINE RESIDENCY PROGRAM",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501197",
            "telephone_number": "724-537-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MELLON WAY",
            "address_2": "LATROBE FAMILY MEDICINE RESIDENCY PROGRAM",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501197",
            "telephone_number": "724-537-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEC",
        "first_name": "TERESA",
        "middle_name": "BETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.