Active NPI
Kyle M Malecki, MD
- Diagnostic Radiology Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01089671A
- Practice address
- 11700 N Meridian St
Carmel, IN 46032-4656 - Phone
- (317) 688-2955
- NPI assigned
- Mar 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.071862 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 01089671A | IN | Primary |
Addresses
Primary practice location
11700 N Meridian St
Carmel, IN 46032-4656
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4943
Other practice location 2
5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 741-2957
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300026706 | Medicaid | IN | |
| 959090186 | Other | IN | MEDICARE PTAN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmalecki@direct.iuhealth.org | Direct | |
| Direct Messaging Address | kmalecki@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 286-3900
Hospital & facility affiliations
- Indiana University Health
- Eskenazi Health
- Indiana University Health Bloomington Hospital
- Indiana University Health Ball Memorial Hospital
- Iu Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01089671A | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
11700 N Meridian St
Carmel, IN 46032
Phone (317) 688-2000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
5501 W Bethel Ave
Muncie, IN 47304
Phone (765) 741-2957
Interoperability endpoints
- kmalecki@direct.iuhealth.org
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.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1831693308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 N MERIDIAN ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460324656",
"telephone_number": "317-688-2955"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "60153",
"country_code": "US",
"telephone_number": "708-216-4943",
"fax_number": "708-216-6890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 W Bethel Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473048513",
"country_code": "US",
"telephone_number": "765-741-2957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALECKI",
"first_name": "KYLE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.071862",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01089671A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300026706",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "959090186",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmalecki@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5501 W Bethel Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473048513",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmalecki@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11700 N Meridian St",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460324656",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.