Individual provider Active NPI

Ashley Helen Malcolm, M.D.

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1205030913
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036124998 Issued in IL
Practice address
705 Main St
Danville, VA 24541-1803
Phone
(434) 791-4122
Fax
(434) 791-4126
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101250748 VA
Internal Medicine Physician 207R00000X 036124998 IL
Hospitalist Physician 208M00000X 036124998 IL
Family Medicine Physician 207Q00000X 036124998 IL Primary

Addresses

Primary practice location

705 Main St
Danville, VA 24541-1803

Mailing address

705 Main St
Danville, VA 24541-1803
Phone (434) 791-4122

Other identifiers 3

IdentifierTypeStateIssuer
VV3910AOtherVAMEDICARE PART B
15787696910MedicaidVA
491863OtherVAMEDICARE NGS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100331000731 IL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - HospitalistPractitioner - Emergency Medicine 8224164025 Reassigns benefits to 3 organizations
I20210120003190 CA Practitioner - HospitalistPractitioner - Family Practice 8224164025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist, Internal Medicine
Education
Saint Louis University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jan 15, 2021 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jan 15, 2021 Accepting new patients
Cep America-Illinois Hospitalists, LLP Family Medicine CurrentSince May 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince May 1, 2016 Accepting new patients
Midwest Emergency Sparta, Inc CurrentSince Jun 1, 2013 Accepting new patients
Cep America - Illinois SNF, LLP CurrentSince Jan 7, 2021 Accepting new patients
Cep America - Illinois SNF LLP Internal Medicine CurrentSince Jan 7, 2021 Accepting new patients
Cep America - Illinois SNF, LLP Internal Medicine Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

Organizations & group practices 10

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 7

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1205030913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-791-4122",
            "fax_number": "434-791-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411803",
            "telephone_number": "434-791-4122",
            "fax_number": "434-791-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "ASHLEY",
        "middle_name": "HELEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101250748",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036124998",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036124998",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036124998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "VV3910A",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15787696910",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS",
            "identifier": "491863",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.