Individual provider Active NPI

Michael G Maline, D.O

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1801075759
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E-4869 Issued in AR
Practice address
1000 N Lee Ave
#4803
Oklahoma City, OK 73102-1036
Phone
(405) 272-6358
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4531 OK
Orthopaedic Surgery Physician 207X00000X E-4869 AR Primary

Addresses

Primary practice location

1000 N Lee Ave
#4803
Oklahoma City, OK 73102-1036

Mailing address

1504 SE 28TH St
Bentonville, AR 72712-3988
Phone (479) 273-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20111012000822 AR Practitioner - Orthopedic Surgery 2163694381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

1504 SE 28TH St
Bentonville, AR 72712-3988
Phone 4792731111224

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022
  • Ozarks Community Hospital of Gravette Hospital, Gravette, AR, CCN 041331
  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010

Merit-based Incentive Payment System (MIPS)

Final score
92.93 of 100Reported as individual
Quality
79.17
Promoting interoperability
100
Improvement activities
40
Cost
97.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement24
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4869ARMDOrthopaedic Surgery Physician
4531OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc Orthopaedic Surgery CurrentSince Mar 10, 2019 Accepting new patients
Sgoh Acquisition Inc CurrentSince Mar 10, 2019 Accepting new patients
Maline Orthopedics, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2011 Accepting new patients
Institute for Advanced Medicine, PA Current Accepting new patients
Sgoh Acquisition Inc Past Accepting new patients

Locations

1504 SE 28th St
Bentonville, AR 72712
Phone (479) 273-1111

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9874/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.maline.1@9874.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1801075759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SE 28TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123988",
            "telephone_number": "479-273-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "address_2": "#4803",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINE",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4531",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AR",
            "license": "E-4869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.