Individual provider Active NPI

Alan Roy Malouf, MD

  • Ophthalmology Physician
  • Bowie, MD
National Provider Identifier
1275525859
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0034462 Issued in MD
Practice address
17000 Science Dr Ste 108
Bowie, MD 20715-4431
Phone
(301) 805-9200
Fax
(301) 805-9632
NPI assigned
Aug 18, 2005
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0034462 MD Primary

Addresses

Primary practice location

17000 Science Dr Ste 108
Bowie, MD 20715-4431

Mailing address

17000 Science Dr
Ste 108
Bowie, MD 20715-4431
Phone (301) 805-9200

Other identifiers 8

IdentifierTypeStateIssuer
22940002OtherDCBCBS DC INDIVIDUAL ID#
20432OtherMDMAMSI INDIVIDUAL ID#
40301606OtherMDBCBS MD INDIVIDUAL ID#
465210OtherMDAETNA INDIVIDUAL ID#
776378OtherMDUNITED HEALTHCARE ID#
KW77GEOtherMDBCBS MD GROUP ID#
180023952OtherMDRAILROAD MEDICARE ID#
492828OtherMDHEALTHLINK/NCPPO ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20110411000750 DC Practitioner - Ophthalmology 0749324093 Reassigns benefits to 1 organization
I20251013000186 MD Practitioner - Ophthalmology 0749324093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alan R Malouf MD PAGroup PAC ID 1850679390, 2 clinicians

Practice addresses (Care Compare)

17000 Science Dr
Suite 108
Bowie, MD 20715-4431
Phone (301) 805-9200

8850 Columbia 100 Pkwy
Suite 102
Columbia, MD 21045-2375
Phone (410) 888-2020

Merit-based Incentive Payment System (MIPS)

Final score
89.18 of 100Reported as group
Quality
88.82
Improvement activities
40
Cost
78.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery156
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alan R Malouf MD PA Ophthalmology CurrentSince Aug 16, 2016 Accepting new patients

Locations

17000 Science Dr
Ste 108
Bowie, MD 20715
Phone (301) 805-9200

8850 Columbia 100 Pkwy
Ste 102
Columbia, MD 21045
Phone (410) 888-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1275525859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 SCIENCE DR",
            "address_2": "STE 108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154431",
            "telephone_number": "301-805-9200",
            "fax_number": "301-805-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 SCIENCE DR STE 108",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207154431",
            "telephone_number": "301-805-9200",
            "fax_number": "301-805-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOUF",
        "first_name": "ALAN",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0034462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DC INDIVIDUAL ID#",
            "identifier": "22940002",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI INDIVIDUAL ID#",
            "identifier": "20432",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD INDIVIDUAL ID#",
            "identifier": "40301606",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL ID#",
            "identifier": "465210",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "776378",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD GROUP ID#",
            "identifier": "KW77GE",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID#",
            "identifier": "180023952",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK/NCPPO ID#",
            "identifier": "492828",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.