Individual provider Active NPI

Alex Mallari, CRNA

  • Certified Registered Nurse Anesthetist
  • Middletown, DE
National Provider Identifier
1770685240
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
L6-0A00454E Issued in DE
Practice address
32 N Cummings Dr
Middletown, DE 19709-1665
Phone
(856) 275-9370
NPI assigned
Sep 3, 2006
Last updated
Oct 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X L6-0A00454E DE Primary

Addresses

Primary practice location

32 N Cummings Dr
Middletown, DE 19709-1665

Mailing address

32 N Cummings Dr
Middletown, DE 19709-1665
Phone (856) 275-9370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060405000518 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335157122 Reassigns benefits to 5 organizations
I20090217000420 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335157122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7408

701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
L6-0A00454EDEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Expresscare LLC CurrentSince Nov 9, 2009 Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2025 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jun 25, 2012 Accepting new patients
University of Maryland Medical System Corporation Nurse Anesthetist, Certified Registered Current Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jun 25, 2012 Accepting new patients
Upper Bay Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2013 Accepting new patients
NCB Anesthesia Associates, LLC CurrentSince Apr 15, 2023 Accepting new patients
University of Maryland Medical Center, LLC CurrentSince Nov 9, 2009 Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

32711 Long Neck Rd
Millsboro, DE 19966
Phone (302) 945-9730

1000 Twin C Ln
Ste 200
Newark, DE 19713
Phone (302) 683-0700

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

701 W Pratt St
Baltimore, MD 21201
Phone (410) 328-5881

103 Chesapeake Blvd
Ste C
Elkton, MD 21921
Phone (410) 392-6133

Organizations & group practices 11

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 1

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": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1770685240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 N CUMMINGS DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091665",
            "telephone_number": "856-275-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N CUMMINGS DR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091665",
            "telephone_number": "856-275-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "ALEX",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00454E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.