Individual provider Active NPI

Daniel G Malone, MD

  • Rheumatology Physician
  • Beaver Dam, WI
National Provider Identifier
1346216371
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
28394 Issued in WI
Practice address
705 S University Ave
Ste 150
Beaver Dam, WI 53916-3053
Phone
(920) 885-2663
Fax
(920) 885-2466
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 28394 WI Primary

Addresses

Primary practice location

705 S University Ave
Ste 150
Beaver Dam, WI 53916-3053

Mailing address

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

Other practice location 1

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

Other identifiers 2

IdentifierTypeStateIssuer
30821700MedicaidWI
1002676OtherWIPHYSICIANS PLUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100331001060 WI Practitioner - RheumatologyPractitioner - Internal Medicine 9931235652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Ridge Health IncGroup PAC ID 6800791484, 70 clinicians

Practice addresses (Care Compare)

1515 Park Ave
Columbus, WI 53925-1618
Phone (920) 623-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28394WIMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Ridge Health, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Prairie Ridge Health Inc. CurrentSince Mar 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
Prairie Ridge Health, Inc. Current Accepting new patients
Family & Sports Orthopaedic Center, LLC Past Accepting new patients
Prairie Ridge Health, Inc. Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

705 S University Ave
Ste 150
Beaver Dam, WI 53916
Phone (920) 219-4009

118 W Maple Ave
Beaver Dam, WI 53916
Phone (920) 356-1000

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

1511 Park Ave
Columbus, WI 53925
Phone (920) 623-3012

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Ste 100
Marshfield, WI 54449
Phone (715) 221-8718

Interoperability endpoints

  • Direct secure messaging: dmalone266884@direct-ehr-ssmhc.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a87187e5-fe2f-447e-bf32-4eeb3954a735/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1346216371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PARK AVE",
            "city": "COLUMBUS",
            "state": "WI",
            "postal_code": "539251618",
            "telephone_number": "920-623-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S UNIVERSITY AVE",
            "address_2": "STE 150",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163053",
            "telephone_number": "920-885-2663",
            "fax_number": "920-885-2466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "WI",
            "postal_code": "539251618",
            "country_code": "US",
            "telephone_number": "920-623-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "DANIEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "28394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30821700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "1002676",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.