Phillip Paul Malvasi, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34007005M Issued in OH

Practice address

1017 Youngstown Warren Rd
Niles, OH 44446-4620

Phone

(330) 544-5600

Fax

(330) 544-5550

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Novacare Rehabilitation of Ohio IncGroup PAC ID 0345159315, shared by 5 NPIs, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• TLC Home Healthcare LLC Home health agency, Warren, OH, CCN 369258
• Expand Health Skilled at Home LLC Home health agency, Youngstown, OH, CCN 369312
• At Home With Shepherd Home health agency, Austintown, OH, CCN 367741
• Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
• MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
• MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
• Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Dr. Phillip Malvasi D.O. LLC

  • Family Medicine Physician
  • Niles, OH
  • NPI 1164943395
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Expand Health Skilled at Home LLC

  • Home Health Agency
  • Youngstown, OH
  • NPI 1548936156
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Warren, OH
  • NPI 1538233309

  Hospital

  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Youngstown, OH
  • NPI 1548296106
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • General Acute Care Hospital
  • Warren, OH
  • NPI 1629009964
  Care Compare affiliation
• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Hospital

  Care Compare affiliation
• Patriot Homecare, Inc.

  • Home Health Agency
  • Girard, OH
  • NPI 1598061418
  Care Compare affiliation
• Shepherd of the Valley Lutheran Retirement Services, Inc.

  • Home Health Agency
  • Austintown, OH
  • NPI 1609960350
  Care Compare affiliation
• The Surgery Center at Southwoods, LLC

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  Care Compare affiliation
• TLC Home Healthcare LLC

  • Home Health Agency
  • Warren, OH
  • NPI 1568018067
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376690438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464620",
            "telephone_number": "330-544-5600",
            "fax_number": "330-544-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 YOUNGSTOWN WARREN RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444464620",
            "telephone_number": "330-544-5600",
            "fax_number": "330-544-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVASI",
        "first_name": "PHILLIP",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007005M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sara Maidaa
• Carley Malandro
• Madison Malone
• Kayla Ann Manary
• Autumn Manfredi
• Manor at Autumn Hills Inc
• Toni Mansfield
• Manuel T. Ting, M.D., Inc.

• Family Medicine Physician in Niles, OH
• Providers in Niles, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.