Tennyson M Maliro, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

C129067 Issued in CA

Practice address

500 N McLean Blvd # 103
Elgin, IL 60123-3275

Phone

(224) 227-6178

Fax

(224) 238-3237

NPI assigned

Jan 16, 2009

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, MD, DC, AZ, HI, MI, VA, FL, OH, CA10 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 10

Specialty

Diagnostic Radiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Dimensions Healthcare Associates, IncGroup PAC ID 1557269743, 198 clinicians

Radiology Physician Solutions of West Florida LLCGroup PAC ID 3577876218, 62 clinicians

Norcal ImagingGroup PAC ID 7911099346, 79 clinicians

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003
• Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
• HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
• HCA Florida Blake Hospital Hospital, Bradenton, FL, CCN 100213
• HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 82)

Interoperability endpoints

• Direct secure messaging: tmaliro643607@direct.umm.edu

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.

• Beverly Radiology Medical Group III

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1962457812

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Dimensions Health Associates Dba University of Maryland Capital Region

  dba University of Maryland Capital Region Health Medical Group

  • Internal Medicine Physician
  • Oxon Hill, MD
  • NPI 1407486293

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Meritus Medical Center Inc

  dba Meritus Palliative Care

  • Nurse Practitioner
  • Hagerstown, MD
  • NPI 1205176393

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  DC, MD, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Norcal Imaging

  • Diagnostic Radiology Physician
  • Concord, CA
  • NPI 1003965997

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1104205046
  Medicare reassignment Care Compare group
• Arizona Diagnostic Radiology Group, LLC

  • Diagnostic Radiology Physician
  • Gilbert, AZ
  • NPI 1336757699

  Multi-Specialty

  Medicare reassignment NPD
• Augusta Health Care, Inc.

  • Diagnostic Radiology Physician
  • Fishersville, VA
  • NPI 1720717044

  Multi-Specialty

  Medicare reassignment NPD
• Bath County Community Hospital

  dba Bath Community Hospital

  • Critical Access Hospital
  • Hot Springs, VA
  • NPI 1417989278

  Multi-Specialty

  Medicare reassignment NPD
• Cedars-Sinai Medical Care Foundation

  • Specialist
  • Los Angeles, CA
  • NPI 1316984388

  Multi-Specialty

  Medicare reassignment NPD
• City of Hope Medical Group of Arizona LLC

  • Medical Oncology Physician
  • Goodyear, AZ
  • NPI 1609026806

  Multi-Specialty

  Medicare reassignment NPD
• Desert Advanced Imaging Medical Center

  • Diagnostic Radiology Physician
  • Palm Desert, CA
  • NPI 1568416147

  Multi-Specialty

  Medicare reassignment NPD

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

• Dimensions Health Corporation

  dba University of Maryland Bowie Health Center

  • General Acute Care Hospital
  • Upper Marlboro, MD
  • NPI 1720099286
  Care Compare affiliation
• Fawcett Memorial Hospital, Inc.

  dba HCA Florida Fawcett Hospital

  • General Acute Care Hospital
  • Port Charlotte, FL
  • NPI 1417901406
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Blake Hospital

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1114964244
  Care Compare affiliation
• Largo Medical Center, Inc.

  dba HCA Florida Largo Hospital

  • General Acute Care Hospital
  • Largo, FL
  • NPI 1144274879
  Care Compare affiliation
• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266
  Care Compare affiliation

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1740427467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7065",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370065",
            "telephone_number": "301-503-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MCLEAN BLVD # 103",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601233275",
            "telephone_number": "224-227-6178",
            "fax_number": "224-238-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 Main St",
            "address_2": "#162",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207257571",
            "country_code": "US",
            "telephone_number": "301-503-9055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-482-7800",
            "fax_number": "207-482-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIRO",
        "first_name": "TENNYSON",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "268722",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD435668",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D70541",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD19550",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.164531",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C129067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Malik, DPM
• Fareha N. Malik, MD
• Shoueb Malik, DPM
• Kathleen A Malinis, NP
• Maciej K Malinski, M.D.
• Richard Malis, M.D.
• Colleen Malone, LPC
• Robert W Mandal, MD
• Dolly Mandrelle, MSW, LCSW
• Lisa Kurien Mani, M.D.

• Diagnostic Radiology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.