Individual provider Active NPI

Michael J Malin, M.D.

  • Family Medicine Physician
  • Wamego, KS
National Provider Identifier
1720027261
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-28347 Issued in KS
Practice address
4665 Scotch Pine Cir
Wamego, KS 66547-9342
Phone
(785) 456-6941
NPI assigned
Jun 6, 2006
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-28347 KS Primary

Addresses

Primary practice location

4665 Scotch Pine Cir
Wamego, KS 66547-9342

Mailing address

4665 Scotch Pine Cir
Wamego, KS 66547-9342
Phone (785) 456-6941

Other practice location 1

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325

Other identifiers 2

IdentifierTypeStateIssuer
100396350AMedicaidKS
30004356470001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100519000334 KS Practitioner - Family PracticePractitioner - Emergency Medicine 6608905377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami County Medical Center IncGroup PAC ID 2163311457, 25 clinicians

Practice addresses (Care Compare)

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.88 of 100Reported as group
Quality
90.08
Improvement activities
40
Cost
89.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-28347KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stormont Vail Health Flint Hills LLC CurrentSince Jun 8, 2023 Accepting new patients
Miami County Medical Center Inc. CurrentSince Jul 14, 2021 Accepting new patients
Stormont Vail Health Flint Hills LLC CurrentSince Jun 8, 2023 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Family Medicine Current Accepting new patients
Miami County Medical Center Inc CurrentSince Jul 14, 2021 Accepting new patients
Geary County Hospital Past Accepting new patients
Miami County Medical Center Inc Past Accepting new patients

Locations

1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325

1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131

1110 Saint Marys Rd
Ste 308
Junction City, KS 66441

2100 Baptiste Dr
Paola, KS 66071
Phone (913) 294-2327

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: mmalin755673@direct.kuha.org

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

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1720027261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SCOTCH PINE CIR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479342",
            "telephone_number": "785-456-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SCOTCH PINE CIR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665479342",
            "telephone_number": "785-456-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664414139",
            "country_code": "US",
            "telephone_number": "785-238-0325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-28347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100396350A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004356470001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wamego, KS

Sources for this page

Verify at the official NPI Registry.