Individual provider Active NPI

Kenneth Lester Malamud, M.D.

  • Ophthalmology Physician
  • Burnet, TX
National Provider Identifier
1659524007
Registry record updated Sep 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G1707 Issued in TX
Practice address
1001 Buchanan Dr Ste 3
Burnet, TX 78611-2329
Phone
(512) 715-3937
Fax
(512) 715-3938
NPI assigned
Oct 29, 2008
Last updated
Sep 16, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2009

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 G1707 TX Primary

Addresses

Primary practice location

1001 Buchanan Dr Ste 3
Burnet, TX 78611-2329

Mailing address

1001 Buchanan Dr Ste 3
Burnet, TX 78611-2329
Phone (512) 715-3937

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)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1659524007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BUCHANAN DR STE 3",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786112329",
            "telephone_number": "512-715-3937",
            "fax_number": "512-715-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BUCHANAN DR STE 3",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786112329",
            "telephone_number": "512-715-3937",
            "fax_number": "512-715-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAMUD",
        "first_name": "KENNETH",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G1707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnet, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.