Organization Active NPI

Christa Malinak MD Family Practice LLC

  • Family Medicine Physician
  • Monongahela, PA
National Provider Identifier
1417539164
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTA MALINAK MD FAMILY PRACTICE LLC
Practice address
100 Stoops Dr Ste 320
Monongahela, PA 15063-3553
Phone
(724) 565-5393
Fax
(724) 292-7911
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Authorized official

Name
Janet Stevenson
Title
Office Manager
Phone
(724) 565-5393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 Stoops Dr Ste 320
Monongahela, PA 15063-3553

Mailing address

100 Stoops Dr Ste 320
Monongahela, PA 15063-3553
Phone (724) 565-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511002720 PA Part B Supplier - Clinic/Group Practice 5395154967 Receives reassigned benefits from 2 practitioners
Practice locations: Monongahela, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2080199Christa Malinak MD Family Practice100 Stoops Drive Suite 320, Monongahela, PA 15063Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1417539164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 320",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-565-5393",
            "fax_number": "724-292-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 320",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-565-5393",
            "fax_number": "724-292-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA MALINAK MD FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-565-5393"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.