Individual provider Active NPI

Kenneth Howard Maloney, A.A.

  • Anesthesiologist Assistant
  • Houston, TX
National Provider Identifier
1336104942
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
235 Issued in TX
Practice address
6720 Bertner Ave Ste O-520
Houston, TX 77030-2604
Phone
(832) 355-2666
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 235 TX Primary
Anesthesiologist Assistant 367H00000X AA827 AL

Addresses

Primary practice location

6720 Bertner Ave Ste O-520
Houston, TX 77030-2604

Mailing address

2006 Franklin St SE
Suite 301
Huntsville, AL 35801-4551
Phone (256) 539-9471

Other practice location 1

460 Lanier Rd
Madison, AL 35758-1866
Phone (256) 319-9000 ext. 176

Other identifiers 3

IdentifierTypeStateIssuer
051556376MedicaidAL
4113999OtherTNBCBS- TN
051529674OtherALBCBS- AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000816 TX Practitioner - Anesthesiology Assistant 8628007531 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

20171 Chasewood Park Dr
Houston, TX 77070-1437
Phone (832) 534-5000

7200 Cambridge St
Houston, TX 77030-4202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
800GAMDPsychologist
AA827ALMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Jan 8, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Jan 8, 2021 Accepting new patients
Independent Physicians Network PLLC CurrentSince Aug 28, 2019 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince May 1, 2024 Accepting new patients
Dynamic Anesthesia Providers PLLC CurrentSince May 12, 2024 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Comprehensive Anesthesia Services PC PastSince Jun 26, 2022 Accepting new patients

Locations

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

3301 Spring Stuebner Rd
Ste 100
Spring, TX 77389
Phone (346) 262-0300

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Organizations & group practices 7

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1336104942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 FRANKLIN ST SE",
            "address_2": "SUITE 301",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014551",
            "telephone_number": "256-539-9471",
            "fax_number": "256-539-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE STE O-520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Lanier Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357581866",
            "country_code": "US",
            "telephone_number": "256-319-9000 x176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KENNETH",
        "middle_name": "HOWARD",
        "credential": "A.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "TX",
            "license": "235",
            "primary": true
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "AL",
            "license": "AA827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051556376",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- TN",
            "identifier": "4113999",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- AL",
            "identifier": "051529674",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.