Individual provider Active NPI

Safouh Malhis, MD

  • Internal Medicine Physician
  • Johnstown, PA
National Provider Identifier
1720090558
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C54927 Issued in CA
Practice address
100 Susan Dr
Johnstown, PA 15905-2826
Phone
(814) 255-1963
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-062912-L PA
Internal Medicine Physician 207R00000X C54927 CA Primary

Addresses

Primary practice location

100 Susan Dr
Johnstown, PA 15905-2826

Mailing address

PO Box 2329
Rancho Santa Fe, CA 92067-2329
Phone (814) 255-1963

Other identifiers 3

IdentifierTypeStateIssuer
0017122470003MedicaidPA
290013637OtherPARAILROAD MEDICARE
999440OtherPABLUE SHIELD/HIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040916000361 PA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0547237737 Reassigns benefits to 1 organization
I20120416000420 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0547237737 Practice locations: Oceanside, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icare MedicalGroup PAC ID 7315118536, 7 clinicians

Practice addresses (Care Compare)

100 Susan Dr
Johnstown, PA 15905-2826
Phone (814) 255-1963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54927CAMDProsthodontist
C54927CAMDInternal Medicine Physician
MD-062912-LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Medical CurrentSince Jun 9, 2011 Accepting new patients
Safouh Malhis MD PastSince Jan 1, 1990 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

701 Valley View Blvd
Altoona, PA 16602
Phone (814) 799-0866

48 Short Dr
Blairsville, PA 15717
Phone (724) 235-7793

167 Zeman Dr
Ebensburg, PA 15931
Phone (814) 472-9119

100 Susan Dr
Johnstown, PA 15905
Phone (814) 255-1963

411 Theatre Dr
Johnstown, PA 15904
Phone (814) 266-3934

4905 William Penn Hwy
Monroeville, PA 15146
Phone (724) 327-5665

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1720090558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2329",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920672329",
            "telephone_number": "814-255-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUSAN DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052826",
            "telephone_number": "814-255-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHIS",
        "first_name": "SAFOUH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-062912-L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C54927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017122470003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290013637",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD/HIGHMARK",
            "identifier": "999440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.