Kathleen Edna Maley, D.O.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

A-784-84 Issued in NM

Practice address

410 Carlisle Blvd SE
Albuquerque, NM 87106-1412

Phone

(505) 412-2259

Fax

(505) 992-2930

NPI assigned

Feb 15, 2006

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Del Corazon Hospice LLC

  • Community Based Hospice Care Agency
  • Santa Fe, NM
  • NPI 1629367750

  Hospice and Palliative Medicine

  NPD
• PHC-Los Alamos Inc

  dba Los Alamos Medical Center - swing bed unit

  • Medicare Defined Swing Bed Hospital Unit
  • Los Alamos, NM
  • NPI 1215005129
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1396719274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CARLISLE BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061412",
            "telephone_number": "505-412-2259",
            "fax_number": "505-992-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CARLISLE BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061412",
            "telephone_number": "505-412-2259",
            "fax_number": "505-992-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEY",
        "first_name": "KATHLEEN",
        "middle_name": "EDNA",
        "name_prefix": "Ms.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "A-784-84",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NM",
            "license": "A-784-84",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40527",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Maldonado, APRN, CPNP-PC
• Shivon G Maldonado
• Sophia Maldonado, CSW
• Thresa Noleszenski Maldonado, LMT
• Parastou Malek, M.D.
• Fauzia Malik, P.A.
• Mohammad Asim Malik, D.O.
• Muhammad Shawaiz Malik, M.D.
• Arun L Malikayil, PA
• Tristan S Malin, DPT

• Hospice and Palliative Medicine (Family Medicine) Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.