Individual provider Active NPI

Timothy F Malone, DO

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1649205873
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
K1540 Issued in TX
Practice address
3801 Gaston Ave Ste 230
Dallas, TX 75246-2544
Phone
(214) 823-4400
Fax
(214) 823-7400
NPI assigned
Jul 12, 2006
Last updated
Feb 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X K1540 TX Primary

Addresses

Primary practice location

3801 Gaston Ave Ste 230
Dallas, TX 75246-2544

Mailing address

3801 Gaston Ave Ste 230
Dallas, TX 75246-2544
Phone (214) 823-4400

Other identifiers 1

IdentifierTypeStateIssuer
030051903MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000082 TX Practitioner - Internal MedicinePractitioner - Family Practice 7517982978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Gaston Ave
Dallas, TX 75246-2544
Phone (214) 823-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1540TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy F. Malone, DO, PA CurrentSince Jun 1, 2008 Accepting new patients
Physicians and Allied Health Professionals Group, PA General Practice Past Accepting new patients

Locations

3801 Gaston Ave
Ste 230
Dallas, TX 75246
Phone (214) 514-9205

3801 Gaston Ave
Ste 315
Dallas, TX 75246
Phone (214) 824-2121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1649205873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462544",
            "telephone_number": "214-823-4400",
            "fax_number": "214-823-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE STE 230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462544",
            "telephone_number": "214-823-4400",
            "fax_number": "214-823-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "K1540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030051903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.