Mark J. Malloy, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C-5547 Issued in AR

Practice address

6929 JFK Blvd Ste 108
North Little Rock, AR 72116-5312

Phone

(501) 235-8295

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Arkansas College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians

Crossett Health FoundationGroup PAC ID 9133030117, shared by 9 NPIs, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment Care Compare group NPD
• Crossett Health Foundation

  • Medicare Defined Swing Bed Hospital Unit
  • Crossett, AR
  • NPI 1649443144
  Medicare reassignment NPD
• Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Child & Adolescent Psychiatry Physician
  • Little Rock, AR
  • NPI 1467528026
  NPD
• Sage Health Maryland LLC

  • Primary Care Clinic/Center
  • Woodlawn, MD
  • NPI 1770294324
  NPD (past)
• Sage Health Mississippi LLC

  • Primary Care Clinic/Center
  • Gulfport, MS
  • NPI 1861103400
  NPD (past)

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

• University of Arkansas for Medical Sciences

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1477549756
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1811921455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22389",
            "address_2": "PMB 82739",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37202",
            "telephone_number": "866-315-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 JFK BLVD STE 108",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721165312",
            "telephone_number": "501-235-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 Unity Rd",
            "address_purpose": "LOCATION",
            "city": "Crossett",
            "state": "AR",
            "postal_code": "716359444",
            "country_code": "US",
            "telephone_number": "870-364-9111",
            "fax_number": "870-364-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031908",
            "country_code": "US",
            "telephone_number": "479-713-8000",
            "fax_number": "479-713-8719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "C-5547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100927001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Joyce Magee, MSW
• Christopher Rankin Magnante, PSYD
• Jennifer Mainali
• Oussama Francois James Makhoul
• Alexander Malati, DO
• Heidi Manatt
• Christian Nicole Mann
• Jessica Mann
• Santana Brooke Manry, CTRS
• Deliah Elaine Manuel

• Internal Medicine Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.