Individual provider Active NPI

David J Mallams, M.D.

  • Orthopaedic Surgery Physician
  • Midland, TX
National Provider Identifier
1528013786
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
F7830 Issued in TX
Practice address
5615 Deauville Blvd
Ste 220
Midland, TX 79706
Phone
(432) 686-0321
Fax
(432) 686-0664
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X F7830 TX Primary

Addresses

Primary practice location

5615 Deauville Blvd
Ste 220
Midland, TX 79706

Mailing address

PO Box 5556
Midland, TX 79704-5556
Phone (432) 686-0321

Other identifiers 5

IdentifierTypeStateIssuer
00MC01OtherTXBCBS
118420100OtherTXFIRST CARE
MDF7830TXOtherTXWORKERS COMP
089530202MedicaidTX
751700956OtherTXMISC INS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F7830TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Texas Orthopedic Group Inc Orthopaedic Surgery CurrentSince Apr 1, 2014 Accepting new patients
West Texas Orthopedics LLP Orthopaedic Surgery Past Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients

Locations

5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004

10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1528013786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5556",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797045556",
            "telephone_number": "432-686-0321",
            "fax_number": "432-686-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE BLVD",
            "address_2": "STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79706",
            "telephone_number": "432-686-0321",
            "fax_number": "432-686-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAMS",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "F7830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00MC01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE",
            "identifier": "118420100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "MDF7830TX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089530202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISC INS",
            "identifier": "751700956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.