Individual provider Active NPI

Marek Malko, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1386757581
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036106441 Issued in IL
Practice address
5600 W Addison St
Suite Ll001
Chicago, IL 60634-4401
Phone
(773) 202-9622
Fax
(773) 993-0883
NPI assigned
Aug 15, 2006
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036106441 IL Primary

Addresses

Primary practice location

5600 W Addison St
Suite Ll001
Chicago, IL 60634-4401

Mailing address

5600 W Addison St
Suite Ll001
Chicago, IL 60634-4401
Phone (773) 202-9622

Other identifiers 1

IdentifierTypeStateIssuer
036106441MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050822000374 IL Practitioner - Family Practice 2668402421 Reassigns benefits to 1 organization
Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

3445 N Central Ave
Chicago, IL 60634-4420
Phone (773) 205-0800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Healthcare Partners PLLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

5600 W Addison St
Lowr 1LL
Chicago, IL 60634
Phone (773) 202-9622

5605 W Gunnison St
Chicago, IL 60630
Phone (773) 545-2525

Organizations & group practices 1

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 6

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1386757581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE LL001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-202-9622",
            "fax_number": "773-993-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE LL001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-202-9622",
            "fax_number": "773-993-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKO",
        "first_name": "MAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036106441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.