Active NPI
Richard I. Malkin, M.D.
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1316988942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD020683E
- Practice address
- 9501 Roosevelt Blvd
Suite 410
Philadelphia, PA 19114-1025 - Phone
- (215) 969-4917
- Fax
- (215) 969-5875
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD020683E | PA | Primary |
Addresses
Primary practice location
9501 Roosevelt Blvd
Suite 410
Philadelphia, PA 19114-1025
Mailing address
P. O. Box 8500 - 6335
Philadelphia, PA 19178-0001
Phone (215) 807-8000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00728260-02 | Other | PA | AMERICHOICE |
| 025071 | Other | PA | HIGHMARK BLUE SHIELD |
| 877298 | Other | PA | UNITED HEALTHCARE |
| 1591648 | Other | PA | FIRST HEALTH |
| 1506795 | Other | PA | PHCS |
| 03226 | Other | PA | HEALTH PARTNERS |
| 1022046 | Other | PA | KEYSTONE MERCY |
| 1072645 | Other | PA | CIGNA |
| 298 | Other | PA | AETNA |
| PA0043691 | Other | PA | TRICARE |
| 025071 | Other | PA | PERSONAL CHOICE |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD020683E | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Past | Accepting new patients | |
| St.Chris Care at Northeast Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Aria Health Physician Services - Bucks Surgery
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1043379506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1316988942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 8500 - 6335",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780001",
"telephone_number": "215-807-8000",
"fax_number": "215-807-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9501 ROOSEVELT BLVD",
"address_2": "SUITE 410",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191141025",
"telephone_number": "215-969-4917",
"fax_number": "215-969-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKIN",
"first_name": "RICHARD",
"middle_name": "I.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD020683E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "00728260-02",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "025071",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "877298",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1591648",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "1506795",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "03226",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1022046",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1072645",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "298",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "PA0043691",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "025071",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.