Active NPI
John Patrick Malloy IV, DO
- Orthopaedic Surgery Physician
- Coconut Creek, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS11281
- Practice address
- 4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414 - Phone
- (954) 500-4554
- Fax
- (954) 400-0904
- NPI assigned
- Jul 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | OS014015 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | OT011278 | PA | |
| Orthopaedic Surgery Physician | 207X00000X | H70338 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | OS11281 | FL | Primary |
Addresses
Primary practice location
4515 Wiles Rd Ste 201
Coconut Creek, FL 33073-3414
Mailing address
2225 SW 14TH PL
Boca Raton, FL 33486-8558
Phone (954) 500-4554
Other practice location 1
7805 NW Beacon Square Blvd Ste 103
Boca Raton, FL 33487-1396
Phone (954) 500-4554
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4515 Wiles Rd
Suite 201
Coconut Creek, FL 33073-3414
Phone (954) 500-4554
7805 NW Beacon Square Blvd
Suite 103
Boca Raton, FL 33487-1396
Phone (954) 500-4554
Hospital & facility affiliations
- USA Home Health Services
- Community Home Health Services
- USA Home Health Services, Inc.
- HCA Florida Northwest Hospital
- Broward Health North
- Holy Cross Hospital
- Boca Raton Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Spinal fusion | 64 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 43 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H70338 | MD | MD | Orthopaedic Surgery Physician |
| OS014015 | PA | MD | Orthopaedic Surgery Physician |
| OT011278 | PA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Spine and Orthopedics, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Alexander Medical Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
7805 NW Beacon Square Blvd
Ste 103
Boca Raton, FL 33487
Phone (561) 620-0174
4515 Wiles Rd
Ste 201
Coconut Creek, FL 33073
Phone (954) 943-1133
12416 66th St
Ste A
Largo, FL 33773
Phone 7275474700112
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Coconut Creek, FL
- NPI 1437791688
-
- Orthopaedic Surgery Physician
- Largo, FL
- NPI 1265453286
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- Home Health Agency
- Plantation, FL
- NPI 1447258769
-
- General Acute Care Hospital
- Pompano Beach, FL
- NPI 1376571323
-
- Emergency Care Clinic/Center
- Lighthouse Point, FL
- NPI 1720936792
Hospital
-
- General Acute Care Hospital
- Margate, FL
- NPI 1063466563
-
- Home Health Agency
- Ft Lauderdale, FL
- NPI 1598717605
-
- Home Health Agency
- Delray Beach, FL
- NPI 1235137795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637971200000",
"number": "1447450424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 SW 14TH PL",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334868558",
"telephone_number": "954-500-4554",
"fax_number": "954-400-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 WILES RD STE 201",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330733414",
"telephone_number": "954-500-4554",
"fax_number": "954-400-0904"
}
],
"practiceLocations": [
{
"address_1": "7805 NW Beacon Square Blvd Ste 103",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334871396",
"country_code": "US",
"telephone_number": "954-500-4554",
"fax_number": "954-400-0904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLOY",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-19",
"last_updated": "2021-11-27",
"certification_date": "2021-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OS014015",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OT011278",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "H70338",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "OS11281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coconut Creek, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.
- 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.