Active NPI
Sheri W Malakhova, MD
- Internal Medicine Physician
- Issaquah, WA
National Provider Identifier
1164464517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M.D.60191687
- Practice address
- 805 Front St S
Issaquah, WA 98027-4205 - Phone
- (425) 392-1271
- Fax
- (425) 557-5563
- NPI assigned
- Jun 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M.D.60191687 | WA | Primary |
Addresses
Primary practice location
805 Front St S
Issaquah, WA 98027-4205
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8431
Other practice location 1
3901 Hoyt Ave
Everett, WA 98201-4988
Phone (425) 259-0966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804062900 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M.D.60191687 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Internal Medicine | Past | Accepting new patients |
| Post-Acute Care Physicians, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hospitalist Physician
- Newport Beach, CA
- NPI 1356609614
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1164464517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-304-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 FRONT ST S",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980274205",
"telephone_number": "425-392-1271",
"fax_number": "425-557-5563"
}
],
"practiceLocations": [
{
"address_1": "3901 Hoyt Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982014988",
"country_code": "US",
"telephone_number": "425-259-0966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALAKHOVA",
"first_name": "SHERI",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-11",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "M.D.60191687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804062900",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.