Rodney James Malisos, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000146367 Issued in MO

Practice address

1504 NE 96TH St Ste a
Liberty, MO 64068-1351

Phone

(816) 415-2233

Fax

(816) 415-2218

NPI assigned

Jul 12, 2005

Reactivated

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Family Practice

Education

University of Missouri, Kansas City, School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Medical Center PCGroup PAC ID 1759310584, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Hospital Hospital, Liberty, MO, CCN 260177

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rodneymalisos@lmc.allscriptsdirect.net

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.

• Liberty Medical Center PC

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1679777908
  Medicare reassignment Care Compare group NPD
• Liberty Medical Center, PC

  • Non-Pharmacy Dispensing Site
  • Liberty, MO
  • NPI 1609144450
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Liberty Hospital Corporation

  • General Acute Care Hospital
  • Liberty, MO
  • NPI 1548001464
  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1497753545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 NE 96TH ST STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681351",
            "telephone_number": "816-415-2233",
            "fax_number": "816-415-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 NE 96TH ST STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681351",
            "telephone_number": "816-415-2233",
            "fax_number": "816-415-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALISOS",
        "first_name": "RODNEY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2000146367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205388101",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30006033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "33106180464024A002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James S Magera Jr., M.D.
• Hailey Mahoney
• Rachael Mackenzie Mahue
• Malik Neurological Associates Inc
• Salman N Malik, M.D.
• Meghan Lyn Mallams, LCSW, RPT
• Ryann Anne Mallonee, LCSW
• Lucy T Mallya
• Brian Maloney
• Molly Christine Maloney, CCC-SLP

• Family Medicine Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.

Verify at the official NPI Registry.