Individual provider Active NPI

Michael Alan Malpass, M.D.

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1659379675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101038346 Issued in VA
Practice address
1315 2ND St SW
Suite 101
Roanoke, VA 24016-4935
Phone
(540) 344-5550
Fax
(540) 344-5205
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101038346 VA Primary

Addresses

Primary practice location

1315 2ND St SW
Suite 101
Roanoke, VA 24016-4935

Mailing address

1315 2ND St SW
Suite 101
Roanoke, VA 24016-4935
Phone (540) 344-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060119000286 VA Practitioner - Internal Medicine 8729036488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Internal Medicine Associates, LTD Internal Medicine CurrentSince Mar 1, 2016 Accepting new patients
Internal Medicine of Roanoke PC Internal Medicine PastSince Oct 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

1111B S Jefferson St
Roanoke, VA 24016
Phone (703) 342-1007

3603 Brambleton Ave
Ste A
Roanoke, VA 24018
Phone (540) 342-1007

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659379675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-344-5550",
            "fax_number": "540-344-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 2ND ST SW",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164935",
            "telephone_number": "540-344-5550",
            "fax_number": "540-344-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPASS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101038346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.