Individual provider Active NPI

Kathrine H Malozzi, D.O.

  • Family Medicine Physician
  • Mobile, AL
National Provider Identifier
1295826378
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO992 Issued in AL
Practice address
5870 Alumni Cir
Mobile, AL 36688-0002
Phone
(251) 460-7151
Fax
(251) 414-8227
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39020000X FL
Family Medicine Physician 207Q00000X DO992 AL Primary

Addresses

Primary practice location

5870 Alumni Cir
Mobile, AL 36688-0002

Mailing address

5870 Alumni Cir
Mobile, AL 36688-0002
Phone (251) 460-7151

Other names 1

  • Kathrine L Heron Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001406 AL Order and Referring Only - Family PracticePractitioner - Family Practice 7618256116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39020000XFLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Family Medicine Past Accepting new patients

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1295826378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ALUMNI CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880002",
            "telephone_number": "251-460-7151",
            "fax_number": "251-414-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 ALUMNI CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366880002",
            "telephone_number": "251-460-7151",
            "fax_number": "251-414-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOZZI",
        "first_name": "KATHRINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "39020000X",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRINE",
            "last_name": "HERON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.