Simon Alexander Mallal, MBBS

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD51293 Issued in TN

Practice address

1161 21St Ave S
S2105 Medical Center North, Vanderbilt Medical Center
Nashville, TN 37232-2582

Phone

(615) 322-2035

Fax

(615) 343-6160

NPI assigned

Apr 25, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vanderbilt University

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1285659706
  NPD (past)

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1639599806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691",
            "telephone_number": "615-936-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "address_2": "S2105 MEDICAL CENTER NORTH, VANDERBILT MEDICAL CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322582",
            "telephone_number": "615-322-2035",
            "fax_number": "615-343-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAL",
        "first_name": "SIMON",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "TN",
            "license": "51293",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "MD51293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smallal28141@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "1161 21st Ave S",
            "address_2": "S2105 Medical Center North, Vanderbilt Medical Center",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Frances Malik, M.D.
• Rhonda Malik, BSW
• Zohra Razaq Malik, MD
• Maricar Francisco Malinis, MD
• Maryam Malkic
• Robert E Mallard, M.D.
• Maureen Mallas
• Nicholas Steven Mallett, MD
• Veronica T Mallett, MD
• Alyssa Mallia

• Infectious Disease Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Infectious Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.