Individual provider Active NPI

Kelly Ann Malinoski, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
National Provider Identifier
1417198094
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3475 Issued in FL
Practice address
1333 3Rd Ave S Ste 504
Naples, FL 34102-6538
Phone
(239) 260-5181
Fax
(239) 260-5183
NPI assigned
Mar 12, 2009
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3475 FL Primary

Addresses

Primary practice location

1333 3Rd Ave S Ste 504
Naples, FL 34102-6538

Mailing address

1333 3Rd Ave S Ste 504
Naples, FL 34102-6538
Phone (239) 260-5181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000455 FL Practitioner - Podiatry 7214082718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1333 3Rd Ave S
Suite 504
Naples, FL 34102-6538
Phone (239) 260-5181

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue453
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kelly Malinoski LLC Foot & Ankle Surgery CurrentSince Dec 16, 2011 Accepting new patients
Mid-Atlantic Podiatry Associates Foot & Ankle Surgery Past Accepting new patients

Locations

1333 3rd Ave S
Ste 504
Naples, FL 34102
Phone (239) 260-5181

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1417198094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE S STE 504",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026538",
            "telephone_number": "239-260-5181",
            "fax_number": "239-260-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 3RD AVE S STE 504",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026538",
            "telephone_number": "239-260-5181",
            "fax_number": "239-260-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOSKI",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2022-08-19",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.