Individual provider Active NPI

Timothy M Malak, MD

  • Specialist
  • Reading, PA
National Provider Identifier
1831280676
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD035440E Issued in PA
Practice address
5 Hearthstone CT
Suite 105
Reading, PA 19606-3055
Phone
(610) 370-1790
Fax
(610) 370-1886
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD035440E PA Primary

Addresses

Primary practice location

5 Hearthstone CT
Suite 105
Reading, PA 19606-3055

Mailing address

5 Hearthstone CT
Suite 105
Reading, PA 19606-3055
Phone (610) 370-1790

Other identifiers 1

IdentifierTypeStateIssuer
0011662900005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101014001351 PA Practitioner - General Surgery 9739372350 Reassigns benefits to 1 organization
Practice locations: Reading, PA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph Medical GroupGroup PAC ID 3779688650, 190 clinicians

Practice addresses (Care Compare)

2500 Bernville Rd
Reading, PA 19605-9453
Phone (610) 378-2000

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 898-0647

Hospital & facility affiliations

  • Patient Care Home health agency, Wyomissing, PA, CCN 397578
  • Tower Health at Home Home health agency, West Reading, PA, CCN 397001
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Merit-based Incentive Payment System (MIPS)

Final score
79.31 of 100Reported as group
Quality
55.01
Promoting interoperability
99
Improvement activities
40
Cost
76.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035440EPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Medical Group CurrentSince Apr 1, 2017 Accepting new patients
St. Joseph Medical Group CurrentSince Apr 1, 2017 Accepting new patients

Locations

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2607 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 743-3139

Organizations & group practices 2

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 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1831280676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEARTHSTONE CT",
            "address_2": "SUITE 105",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063055",
            "telephone_number": "610-370-1790",
            "fax_number": "610-370-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HEARTHSTONE CT",
            "address_2": "SUITE 105",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063055",
            "telephone_number": "610-370-1790",
            "fax_number": "610-370-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAK",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD035440E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011662900005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.