Individual provider Active NPI

John Malouf, D.O.

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1659372837
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L3387 Issued in TX
Practice address
5022 Holly Rd
Corpus Christi, TX 78411-4736
Phone
(361) 985-2015
Fax
(361) 985-2016
NPI assigned
Aug 10, 2005
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L3387 TX Primary

Addresses

Primary practice location

5022 Holly Rd
Corpus Christi, TX 78411-4736

Mailing address

5022 Holly Rd Ste 105
Corpus Christi, TX 78411
Phone (361) 985-2015

Other identifiers 1

IdentifierTypeStateIssuer
152280703MedicaidTX

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
I20050322000357 TX Practitioner - Ophthalmology 9032164173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Texas HSC, College of Osteopathic Med, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5022 Holly Rd
Suite 105
Corpus Christi, TX 78411-4760
Phone (361) 985-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3387TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John G Malouf DO PA Ophthalmology CurrentSince Jun 1, 2002 Accepting new patients
Conroe Eye Clinic, LLP Ophthalmology Past Accepting new patients

Locations

1401 W Wheeler Ave
Ste A
Aransas Pass, TX 78336
Phone (361) 758-0327

501 S Commercial St
Aransas Pass, TX 78336

5022 Holly Rd
Ste 105
Corpus Christi, TX 78411
Phone (361) 985-2015

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, 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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1659372837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 HOLLY RD STE 105",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78411",
            "telephone_number": "361-985-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 HOLLY RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114736",
            "telephone_number": "361-985-2015",
            "fax_number": "361-985-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOUF",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L3387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152280703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.