Individual provider Active NPI

Stephen W Malaquias, MD

  • Internal Medicine Physician
  • South Yarmouth, MA
National Provider Identifier
1285602771
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40224 Issued in MA
Practice address
257 Station Avenue
South Yarmouth, MA 02664
Phone
(508) 394-8303
Fax
(508) 398-6680
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40224 MA Primary

Addresses

Primary practice location

257 Station Avenue
South Yarmouth, MA 02664

Mailing address

25 Communications Way
Macc - Revenue Cycle
Hyannis, MA 02601-1866
Phone (508) 957-8664

Other identifiers 3

IdentifierTypeStateIssuer
2061619MedicaidMA
6832OtherMAHPHC
L15111OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients

Locations

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

Interoperability endpoints

  • Direct secure messaging: smalaquias43087@direct.capecodhealthcare.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1285602771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATIONS WAY",
            "address_2": "MACC - REVENUE CYCLE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011866",
            "telephone_number": "508-957-8664",
            "fax_number": "508-957-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 STATION AVENUE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "02664",
            "telephone_number": "508-394-8303",
            "fax_number": "508-398-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAQUIAS",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "40224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061619",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "6832",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "L15111",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.