Maximilian Von Malotky, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

A148839 Issued in CA

Practice address

1800 Buenaventura Blvd Ste 200
Redding, CA 96001-3700

Phone

(530) 638-8868

Fax

(530) 638-8870

NPI assigned

May 4, 2011

Last updated

Jun 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Plastic and Reconstructive Surgery

Education

University of Arkansas College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maximilian.malotky.1@16657.direct.athenahealth.com

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.

• Maximilian Malotky, M.D., Inc.

  • Plastic Surgery Physician
  • Redding, CA
  • NPI 1942719513
  Medicare reassignment NPD
• Richard Malotky, MD., Inc.

  • Family Medicine Physician
  • Redding, CA
  • NPI 1285024232
  NPD (past)

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

• Dignity Health

  dba Mercy Medical Center Mt. Shasta

  • Critical Access Hospital
  • Mount Shasta, CA
  • NPI 1518085430
  Care Compare affiliation

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1841582202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-638-8868",
            "fax_number": "530-638-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUENAVENTURA BLVD STE 200",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013700",
            "telephone_number": "530-638-8868",
            "fax_number": "530-638-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTKY",
        "first_name": "MAXIMILIAN",
        "middle_name": "VON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A148839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Malinovsky
• Daniel S Mallamo, PA
• Hermes Bustos Mallari, D.D.S.
• Heather Mallory
• Ann O. Malotky, D.D.S.
• Richard Arden Malotky, MD
• Mahesh Mamilla, M.B.B.S
• Mana Mobility Physical Therapy
• Douglas Kevin Mandel, MD
• Michel Ross Mandel, M.D.

• Plastic and Reconstructive Surgery Physician in Redding, CA
• Providers in Redding, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.