Individual provider Active NPI

Sean Derek Malee, M.D.

  • Internal Medicine Physician
  • Mount Shasta, CA
National Provider Identifier
1447343447
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A62026 Issued in CA
Practice address
914 Pine St
Mount Shasta, CA 96067-2143
Phone
(530) 926-6111
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A62026 CA Primary

Addresses

Primary practice location

914 Pine St
Mount Shasta, CA 96067-2143

Mailing address

PO Box 496084
Redding, CA 96049-6084
Phone (530) 241-0473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040329001716 CA Practitioner - HospitalistPractitioner - Internal Medicine 4789576091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North State Hospitalist Medical Group IncGroup PAC ID 2668893447, 9 clinicians

Practice addresses (Care Compare)

914 Pine St
Mount Shasta, CA 96067-2143
Phone (530) 926-6111

Hospital & facility affiliations

  • Madrone Hospice, Inc Hospice, Yreka, CA, CCN 051657
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Mercy Medical Center of Mt Shasta Nursing home, CCN 05Z319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Shasta Hospitalist Services Inc Current Accepting new patients
North State Hospitalist Medical Group, Inc CurrentSince Feb 1, 2020 Accepting new patients
Fairchild Medical Group Past Accepting new patients
Shanhong Lu Past Accepting new patients

Locations

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1447343447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496084",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496084",
            "telephone_number": "530-241-0473",
            "fax_number": "530-241-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672143",
            "telephone_number": "530-926-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEE",
        "first_name": "SEAN",
        "middle_name": "DEREK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

Verify at the official NPI Registry.