NPIMap

Individual provider Active NPI

Elizabeth Jane Malcolm, M.D., MSHS

  • Internal Medicine Physician
  • Stanford, CA
National Provider Identifier
1700838877
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
63902 Issued in CA
Practice address
1265 Welch Rd
Medical School Office Building RM X3C46
Stanford, CA 94305-5102
Phone
(650) 723-2300
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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 63902 CA Primary

Addresses

Primary practice location

1265 Welch Rd
Medical School Office Building RM X3C46
Stanford, CA 94305-5102

Mailing address

1265 Welch Rd
Medical School Office Building RM X3C46
Stanford, CA 94305-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060227000795 CA Practitioner - Internal Medicine 3375559487
I20181211001412 NC Practitioner - Internal Medicine 3375559487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

10211 Alm St
Suite 1100
Raleigh, NC 27617-8221
Phone (919) 620-5333

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63902CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Duke Health Integrated Practice, Inc CurrentSince Jul 1, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 8, 2018 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Oct 8, 2018 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Stanford Health Care Internal Medicine Past Accepting new patients

Locations

201 Sage Rd
Ste 300
Chapel Hill, NC 27514
Phone (919) 385-2030

201 Sage Rd
Chapel Hill, NC 27514
Phone (802) 522-6077

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

5102 N Roxboro St
Durham, NC 27704
Phone (919) 613-3115

4220 N Roxboro St
Durham, NC 27704
Phone (919) 471-1518

10211 Alm St
Ste 1100
Raleigh, NC 27617
Phone (919) 385-1160

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: emalcolm411301@direct.medicine.duke.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1700838877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WELCH RD",
            "address_2": "MEDICAL SCHOOL OFFICE BUILDING RM X3C46",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WELCH RD",
            "address_2": "MEDICAL SCHOOL OFFICE BUILDING RM X3C46",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055102",
            "telephone_number": "650-723-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D., MSHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "63902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.