Active NPI
Stephen W Malaquias, MD
- Internal Medicine Physician
- South Yarmouth, MA
National Provider Identifier
1285602771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 40224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061619 | Medicaid | MA | |
| 6832 | Other | MA | HPHC |
| L15111 | Other | MA | BCBS |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Hospital Inc | Current | Accepting new patients |
Locations
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
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.