Active NPI
James Malenkos III, MD
- Aerospace Medicine Physician
- Colorado Springs, CO
National Provider Identifier
1619943149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- G7552
- Practice address
- 5153 Sand Hill Drive
Colorado Springs, CO 80923 - Phone
- (719) 388-8466
- Fax
- (719) 556-9677
- NPI assigned
- Feb 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | G7552 | TX | Primary |
Addresses
Primary practice location
5153 Sand Hill Drive
Colorado Springs, CO 80923
Mailing address
5153 Sand Hill Drive
Colorado Springs, CO 80923
Phone (719) 388-8466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G7552 | TX | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1619943149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5153 SAND HILL DRIVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80923",
"telephone_number": "719-388-8466",
"fax_number": "719-556-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5153 SAND HILL DRIVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80923",
"telephone_number": "719-388-8466",
"fax_number": "719-556-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALENKOS",
"first_name": "JAMES",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "TX",
"license": "G7552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.