Madonna C Mallari, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33207 Issued in AZ

Practice address

9953 N 95TH St
Suite 105
Scottsdale, AZ 85258-4593

Phone

(480) 945-8360

Fax

(480) 945-4555

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Drew Durbin, DO, PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1649508847
  Medicare reassignment NPD
• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment NPD
• Honorhealth Medical Group, LLC

  • Primary Care Clinic/Center
  • Peoria, AZ
  • NPI 1043851793
  Medicare reassignment NPD
• Honorhealth Ambulatory

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1730336470
  NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1043666910
  NPD
• Honorhealth Medical Group, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285338343
  NPD
• Institute for Bone and Joint Disorders PC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1376513291
  NPD (past)
• Ipn of Arizona, PLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1538119284
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1164402285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9953 N 95TH ST",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584593",
            "telephone_number": "480-945-8360",
            "fax_number": "480-945-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9953 N 95TH ST",
            "address_2": "SUITE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584593",
            "telephone_number": "480-945-8360",
            "fax_number": "480-945-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "MADONNA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "883860",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malibu Management LLC
• Maisha Maliha, M.D.
• Talha Aziz Malik, M.D.
• Julie Kay Malkowski, RN, IBCLC
• Divya Singh Malladi, MD
• Randy V. Mallari, PMHNP-BC/C, FNP-BC/C
• Renee Mallari
• Robin E. Mallaro, CRNA
• Abigail Malle, PA-C
• Krishna Mallik, M.D.

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.