Peter J Malouf, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K0518 Issued in TX

Practice address

7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908

Phone

(817) 205-3075

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

DermatologyAlso: General Practice

Education

University of North Texas HSC, College of Osteopathic Med, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/BFDGBD/Endpoint/BFDGBD
• FHIR API: https://fhir4.healow.com/fhir/r4/BFDGBD

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.

• Concierge Dermatology Management, LLC

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1134615206

  Wound Care

  Medicare reassignment NPD
• Polymerase Labs LLC

  • Clinical Medical Laboratory
  • Cleburne, TX
  • NPI 1487324398
  NPD Authorized official
• Malouf Dermatology Dallas PA

  • Dermatology Physician
  • Dallas, TX
  • NPI 1326207945

  Multi-Specialty

  NPD (past) Authorized official
• Mi Familia Medical PLLC

  • General Practice Physician
  • Austin, TX
  • NPI 1861719155

  Multi-Specialty

  NPD (past) Authorized official
• Mifamilia Medical PLLC

  • General Practice Physician
  • Grand Prairie, TX
  • NPI 1477870202

  Multi-Specialty

  NPD (past) Authorized official
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1225047012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-205-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-205-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Ridgeway Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760335130",
            "country_code": "US",
            "telephone_number": "817-205-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALOUF",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "K0518",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "K0518",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K0518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodie Lynn Malone
• Patrick Roy Malone
• Susanne Marie Malone, LCSW
• Victoria Malone, LCSW
• Christina Maloney, RDLD
• Agnes Jeruto Mamboleo
• Lai Man
• Rodora Hayag Manalansan, RPH
• Manali Healthcare PLLC
• Carina Manalo, DNP, APRN, ACNP, FN

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.