Individual provider Active NPI

Stephanie Malleus, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1285727685
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10002065 Issued in DE
Practice address
213 Greenhill Ave
Suite B
Wilmington, DE 19805-1844
Phone
(302) 429-5870
Fax
(302) 429-9284
NPI assigned
Sep 30, 2006
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10002065 DE Primary

Addresses

Primary practice location

213 Greenhill Ave
Suite B
Wilmington, DE 19805-1844

Mailing address

213 Greenhill Ave
Suite B
Wilmington, DE 19805-1844
Phone (302) 429-5870

Other practice location 1

701 N Clayton St Ste 200
Wilmington, DE 19805-3165
Phone (302) 575-8040

Other identifiers 1

IdentifierTypeStateIssuer
0000090201MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000372 DE Practitioner - Family Practice 8224042627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medicine at GreenhillGroup PAC ID 9931181013, 8 clinicians
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

213 Greenhill Ave
Suite B
Wilmington, DE 19805-1844
Phone (302) 429-5870

701 N Clayton St
FL 2
Wilmington, DE 19805-3165
Phone (302) 575-8040

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates, PA Family Medicine Current Accepting new patients
St. Francis Hospital Inc. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Family Medicine at Greenhill Family Medicine CurrentSince Mar 1, 2000 Accepting new patients
St Francis Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients

Locations

213 Greenhill Ave
Ste B
Wilmington, DE 19805
Phone (302) 429-5870

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

Interoperability endpoints

  • Direct secure messaging: smalleus2016044@direct.trinity-health.org
  • Direct secure messaging: stephaniemalleus@sffp.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1285727685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 GREENHILL AVE",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051844",
            "telephone_number": "302-429-5870",
            "fax_number": "302-429-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GREENHILL AVE",
            "address_2": "SUITE B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051844",
            "telephone_number": "302-429-5870",
            "fax_number": "302-429-9284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Clayton St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053165",
            "country_code": "US",
            "telephone_number": "302-575-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLEUS",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10002065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000090201",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.