Timothy John Malone, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101041129 Issued in VA

Practice address

731-F Walker Road
Great Falls, VA 22066-2834

Phone

(703) 759-7016

Fax

(703) 759-7018

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Eye Specialists and Surgeons of Northern Virginia, LLC

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1275904674

  DC, Ophthalmology

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1497762785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11062 TOTTENHAM LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941402",
            "telephone_number": "703-927-4463",
            "fax_number": "703-759-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731-F WALKER ROAD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "703-759-7016",
            "fax_number": "703-759-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101041129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63-2250-6",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Little Star Birth Services, LLC
• Loebig Chiropractic, P.C.
• Glenn Michael Loebig, D.C.
• Loudoun Medical Group, PC
• Juan Carlos Loza, DDS
• Carol Reyburn Martin, MD
• Charlotte B Mathews
• Miguel Antonio Matos
• John L Melton, PH.D.
• Mental Health Partners LLC

• All providers in Great Falls, VA
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.