Individual provider Active NPI

Salman Malad, MD

  • Medical Oncology Physician
  • Show Low, AZ
National Provider Identifier
1316936222
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
41967 Issued in AZ
Practice address
2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954
Phone
(928) 537-6937
Fax
(928) 532-8798
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 41967 AZ Primary

Addresses

Primary practice location

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954

Mailing address

2500 E Hunt Dr Ste H-J
Show Low, AZ 85901-7954
Phone (928) 537-6937

Other identifiers 5

IdentifierTypeStateIssuer
4160095OtherTNBLUE CROSS
1053635MedicaidLA
087281MedicaidAZ
3000540MedicaidTN
P00444174OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060329000115 LA Practitioner - Hematology/OncologyPractitioner - Medical OncologyPractitioner - Hematology 8628086949 Reassigns benefits to 1 organization
I20200411000016 NV Practitioner - Medical Oncology 8628086949

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

608 N Acadia Rd
FL 3
Thibodaux, LA 70301-4847
Phone (985) 449-4642

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19678NVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
41967AZMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation Hematology & Oncology CurrentSince Nov 8, 2024 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Nov 8, 2024 Accepting new patients
Healthcare Partners Medical Group Coats LTD Family Medicine Current Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Sep 21, 2009 Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients
Tennessee Cancer Specialists PLLC Hematology & Oncology Past Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Terrebonne Parish Hospital Service District #1 Internal Medicine PastSince Aug 10, 2020 Accepting new patients

Locations

12725 W Indian School Rd
Ste C105
Avondale, AZ 85392
Phone (623) 512-4873

2610 Sheridan Rd
Zion, IL 60099

608 N Acadia Rd
Fl 3
Thibodaux, LA 70301
Phone (985) 449-4642

608 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4334

Organizations & group practices 10

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 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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1316936222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937",
            "fax_number": "928-532-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E HUNT DR STE H-J",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017954",
            "telephone_number": "928-537-6937",
            "fax_number": "928-532-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAD",
        "first_name": "SALMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "AZ",
            "license": "41967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4160095",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053635",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087281",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000540",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00444174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.