Active NPI
Alan R Malouf MD PA
- Ophthalmology Physician
- Bowie, MD
National Provider Identifier
1134577455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0034462
- Legal business name
- ALAN R MALOUF MD PA
- Practice address
- 17000 Science Dr
Suite 108
Bowie, MD 20715-4420 - Phone
- (301) 805-9200
- Fax
- (301) 805-9632
- NPI assigned
- May 26, 2016
- 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
- Dr. Alan Roy Malouf, M.D., F.A.C.S.
- Title
- President
- Phone
- (301) 805-9200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0034462 | MD | Primary |
Addresses
Primary practice location
17000 Science Dr
Suite 108
Bowie, MD 20715-4420
Mailing address
17000 Science Dr
Suite 108
Bowie, MD 20715-4420
Phone (301) 805-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
17000 Science Dr
Ste 108
Bowie, MD 20715
Phone (301) 805-9200
8850 Columbia 100 Pkwy
Ste 101
Columbia, MD 21045
Phone (240) 917-2770
Practitioners & affiliated clinicians
Practitioners 2
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": "1464220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1134577455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17000 SCIENCE DR",
"address_2": "SUITE 108",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154420",
"telephone_number": "301-805-9200",
"fax_number": "301-805-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 SCIENCE DR",
"address_2": "SUITE 108",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154420",
"telephone_number": "301-805-9200",
"fax_number": "301-805-9632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN R MALOUF MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "MALOUF",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-805-9200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., F.A.C.S."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0034462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.