NPIMap

Individual provider Active NPI

Jordan Malenke, MD

  • Otolaryngology Physician
  • Scarborough, ME
National Provider Identifier
1275988313
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD26065 Issued in ME
Practice address
92 Campus Dr FL 3
Scarborough, ME 04074-7228
Phone
(207) 797-5753
NPI assigned
Apr 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X 88850 GA
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 88850 GA
Otolaryngology Physician 207Y00000X MD26065 ME Primary

Addresses

Primary practice location

92 Campus Dr FL 3
Scarborough, ME 04074-7228

Mailing address

92 Campus Dr FL 3
Scarborough, ME 04074-7228
Phone (207) 797-5753

Other practice location 1

550 Peachtree St NE Ste 1135
Atlanta, GA 30308-2234
Phone (404) 778-3381

Other practice location 2

1215 21st Ave S
7209 Medical Center East-South Tower
Nashville, TN 37232-8605
Phone (615) 343-6972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915003008 ME Practitioner - Otolaryngology 2163821620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Biddeford, ME 04005-9422
Phone (207) 282-4270

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

84 Campus Dr
Scarborough, ME 04074-7133
Phone (207) 396-7000

92 Campus Dr
Scarborough, ME 04074-7229

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26065MEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 15, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2022 Accepting new patients
Maine Medical Partners CurrentSince Aug 15, 2022 Accepting new patients
Mainehealth CurrentSince Aug 15, 2022 Accepting new patients
Mainehealth Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

92 Campus Dr
Ste C
Scarborough, ME 04074
Phone (207) 797-5753

92 Campus Dr
Fl 3
Scarborough, ME 04074
Phone (207) 797-5753

175 US Route 1
Scarborough, ME 04074
Phone (207) 396-7700

Interoperability endpoints

  • Direct secure messaging: jmalenke555068@direct.mmc.mainehealth.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 and National Provider Directory roles.

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1275988313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR FL 3",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747228",
            "telephone_number": "207-797-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 CAMPUS DR FL 3",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747228",
            "telephone_number": "207-797-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Peachtree St NE Ste 1135",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082234",
            "country_code": "US",
            "telephone_number": "404-778-3381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 21st Ave S",
            "address_2": "7209 Medical Center East-South Tower",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372328605",
            "country_code": "US",
            "telephone_number": "615-343-6972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALENKE",
        "first_name": "JORDAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-26",
        "last_updated": "2022-07-29",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "GA",
            "license": "88850",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "88850",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ME",
            "license": "MD26065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.