Individual provider Active NPI

Malcolm Kish McLeod, DO

  • Family Medicine Physician
  • Foley, AL
National Provider Identifier
1295906238
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO983 Issued in AL
Practice address
1511 N McKenzie St
Foley, AL 36535-2235
Phone
(251) 943-1584
Fax
(251) 943-7442
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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 DO983 AL Primary

Addresses

Primary practice location

1511 N McKenzie St
Foley, AL 36535-2235

Mailing address

1511 N McKenzie St
Foley, AL 36535-2235
Phone (251) 943-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080517000052 AL Practitioner - Family PracticePractitioner - Emergency Medicine 9638248685 Reassigns benefits to 2 organizations
Practice locations: Foley, AL

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Mid West Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ies Alabama PLLC 23 clinicians

Practice addresses (Care Compare)

1613 N McKenzie St
Foley, AL 36535-2247
Phone (251) 949-3540

Hospital & facility affiliations

  • Thomas Home Health Home health agency, Fairhope, AL, CCN 017148
  • Baldwin Health Hospital, Foley, AL, CCN 010083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO983ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. CurrentSince Sep 7, 2010 Accepting new patients
Ies Alabama PLLC CurrentSince Dec 12, 2023 Accepting new patients
M. Kish McLeod, DO Family Medicine CurrentSince Mar 4, 2021 Accepting new patients
Foley Hospital Company LLC Past Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400

1511 N McKenzie St
Foley, AL 36535
Phone (251) 943-1584

3590 Gulf Shores Pkwy
Gulf Shores, AL 36542
Phone (251) 215-4853

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1295906238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352235",
            "telephone_number": "251-943-1584",
            "fax_number": "251-943-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352235",
            "telephone_number": "251-943-1584",
            "fax_number": "251-943-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "MALCOLM",
        "middle_name": "KISH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.