Active NPI
Thomas Joseph Malbrough, MD
- Physical Medicine & Rehabilitation Physician
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2012037335
- Practice address
- 1390 US Highway 61 Ste N1500
Festus, MO 63028-4137 - Phone
- (636) 933-8940
- Fax
- (636) 933-8941
- NPI assigned
- Apr 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2012037335 | MO | Primary |
Addresses
Primary practice location
1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Mailing address
1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone (636) 933-8940
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Louisiana State University School of Medicine in New Orleans, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15945 Clayton Rd
Suite 220
Ballwin, MO 63011-2491
Phone (636) 239-8097
851 E 5TH St
Washington, MO 63090-3129
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Pain Management, LLC | Current | Accepting new patients | |
| Mercy Clinic Surgical Specialists, LLC | Current | Accepting new patients |
Locations
15945 Clayton Rd
Ste 210
Ballwin, MO 63011
Phone (636) 893-1356
15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097
1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055
621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070
701 S New Ballas Rd
Ste 320
Saint Louis, MO 63141
Phone (314) 251-6343
851 E 5th St
Ste 226
Washington, MO 63090
Phone (636) 239-8097
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.
-
- Pain Medicine (Anesthesiology) Physician
- Washington, MO
- NPI 1942636980
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1609193937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 US HIGHWAY 61 STE N1500",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284137",
"telephone_number": "636-933-8940",
"fax_number": "636-933-8941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 US HIGHWAY 61 STE N1500",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284137",
"telephone_number": "636-933-8940",
"fax_number": "636-933-8941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALBROUGH",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2022-12-13",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2012037335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.