Individual provider Active NPI

Michael C Malinics, D.O.

  • Cardiovascular Disease Physician
  • Waterbury, CT
National Provider Identifier
1255499653
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
000239 Issued in CT
Practice address
1320 W Main St
Waterbury, CT 06708-3119
Phone
(203) 709-7300
Fax
(203) 709-4501
NPI assigned
Dec 5, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 000239 CT Primary

Addresses

Primary practice location

1320 W Main St
Waterbury, CT 06708-3119

Mailing address

1320 W Main St
Waterbury, CT 06708-3119
Phone (203) 709-7300

Other identifiers 12

IdentifierTypeStateIssuer
001002394MedicaidCT
4250662OtherCTAETNA
020239-7359OtherCTCONNECTICARE
2V9983OtherCTHEALTHNET/COMMERCIAL
P00453279OtherCTRR MEDICARE
21-50233OtherCTUHC
21-50233OtherCTAMERICHOICE
1086984OtherCTUSA
1255499653MedicaidCT
040000239CT08OtherCTANTHEM BCBS CT
415474OtherCTWELLCARE
P3837931OtherCTOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, SC2 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
I20070620000140 CT Practitioner - Cardiovascular Disease (Cardiology) 4082526199 Reassigns benefits to 1 organization
I20180829001911 SC Practitioner - Cardiovascular Disease (Cardiology) 4082526199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

56 Franklin St
Waterbury, CT 06706-1253
Phone (203) 709-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000239CTMDCardiovascular Disease Physician
00239CTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Cardiovascular Disease CurrentSince May 9, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 9, 2022 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jan 22, 2019 Accepting new patients
Georgetown Memorial Hospital CurrentSince Jan 22, 2019 Accepting new patients
Quality Cardiovascular Care LLC Cardiovascular Disease PastSince Jun 1, 2009 Accepting new patients
Robert S McWilliam MD LLC PastSince Oct 1, 2016 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1154 Highland Ave
Cheshire, CT 06410
Phone (203) 679-3533

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1320 W Main St
Waterbury, CT 06708
Phone (203) 709-7300

1320 W Main St
Ste 1
Waterbury, CT 06708

133 Scovill St
Ste 314
Waterbury, CT 06706
Phone (203) 575-1811

1389 W Main St
Ste 106
Waterbury, CT 06708
Phone (203) 591-1998

1981 E Main St
Unit 2
Waterbury, CT 06705
Phone (203) 709-5520

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4040 Highway 17
Unit 202
Murrells Inlet, SC 29576
Phone (843) 652-8390

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

9653 Ocean Hwy
Pawleys Island, SC 29585

Interoperability endpoints

  • Direct secure messaging: mmalinics2387878@direct.trinity-health.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1255499653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-709-7300",
            "fax_number": "203-709-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-709-7300",
            "fax_number": "203-709-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINICS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "000239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002394",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4250662",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "020239-7359",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/COMMERCIAL",
            "identifier": "2V9983",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR  MEDICARE",
            "identifier": "P00453279",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "21-50233",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "21-50233",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA",
            "identifier": "1086984",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255499653",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS CT",
            "identifier": "040000239CT08",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "415474",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3837931",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.