Individual provider Active NPI

Kudakwashe Kuda Maloney, M.D

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1851528228
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
P9644 Issued in TX
Practice address
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone
(281) 607-7739
Fax
(281) 299-0091
NPI assigned
Jun 12, 2009
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036170736 IL
Dermatology Physician 207N00000X P9644 TX Primary
Dermatopathology (Pathology) Physician 207ZD0900X P9644 TX

Addresses

Primary practice location

5373 W Alabama St Ste 204
Houston, TX 77056-5923

Mailing address

3320 Oakwell CT
San Antonio, TX 78218-3128
Phone (210) 829-5180

Other practice location 1

8019 S New Braunfels Ste 120
San Antonio, TX 78235-1069
Phone (210) 829-5180

Other practice location 2

4513 Williams Dr
Georgetown, TX 78633-1302
Phone (512) 930-3909

Other practice location 3

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-4472

Other practice location 4

4131 Directors Row
Houston, TX 77092-8703
Phone (877) 697-2447

Other practice location 5

21727 Ih 10 W Fl 2
San Antonio, TX 78257-2106
Phone (210) 829-5180

Other identifiers 1

IdentifierTypeStateIssuer
351829203MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150902000735 TX Practitioner - DermatologyPractitioner - Pathology 9638331820 Reassigns benefits to 10 organizations
I20240905002481 IL Practitioner - Dermatology 9638331820 Reassigns benefits to 1 organization
I20240911003948 IA Practitioner - Dermatology 9638331820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Yale University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5373 W Alabama St
Suite 204
Houston, TX 77056-5923
Phone (281) 607-7739

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
85.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions75
Removal or shaving of skin growth1-10
Skin biopsy30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Dermatology CurrentSince Nov 1, 2015 Accepting new patients
Soderstrom Dermatology Center S C CurrentSince Aug 1, 2024 Accepting new patients
Texas Dermatology and Laser Specialists PLLC Dermatology CurrentSince Jan 9, 2025 Accepting new patients
The University of Texas Health Science Center at Houston CurrentSince Sep 28, 2018 Accepting new patients
Ut Physicians CurrentSince Nov 1, 2015 Accepting new patients
Mountain West Derm-Blackhart, PLLC Dermatology CurrentSince Jun 15, 2024 Accepting new patients
Mountain West Derm - Blackhart PLLC Dermatology CurrentSince Jun 15, 2024 Accepting new patients
Sagis, PLLC CurrentSince Nov 15, 2019 Accepting new patients
Hair and Skin Science Center PLLC Dermatology CurrentSince Dec 1, 2024 Accepting new patients
Sagis PLLC CurrentSince Nov 15, 2019 Accepting new patients
Alliance Pathology Consultants PA Dermatopathology Current Accepting new patients
Soderstrom Dermatology Center S C Dermatology CurrentSince Aug 1, 2024 Accepting new patients
University of Texas Health Science Center at Houston CurrentSince Sep 28, 2018 Accepting new patients
J S Wilkenfeld MD & Associates CurrentSince Jun 17, 2021 Accepting new patients
Clear Lake Pathology Partners LTD Current Accepting new patients
Houston Pathology Associates CurrentSince Dec 1, 2022 Accepting new patients
Skin Care Specialists, PLLC CurrentSince Sep 6, 2022 Accepting new patients
Dermatology Management Services PLLC Dermatology CurrentSince Sep 6, 2022 Accepting new patients
Wilkenfeld Medical Laboratories, I, LTD. Past Accepting new patients
Robert G German MD PC Dermatology Past Accepting new patients

Locations (25 of 28)

2027 S 21st St
Clinton, IA 52732
Phone (563) 242-3571

1800 E 54th St
Ste B
Davenport, IA 52807
Phone (563) 242-3571

1950 E 54th St
Davenport, IA 52807
Phone (563) 344-7546

2100 Jacobssen Dr
Normal, IL 61761
Phone (309) 268-9980

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

5625 Eiger Rd
Ste 105
Austin, TX 78735
Phone (512) 763-3760

7801 N Lamar Blvd
Ste D81
Austin, TX 78752
Phone (512) 868-3376

1501 River Pointe Dr
Ste 150
Conroe, TX 77304
Phone (832) 308-3470

4513 Williams Dr
Georgetown, TX 78633

1127 Eldridge Pkwy
Ste 300110
Houston, TX 77077

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

9225 Katy Fwy
Ste 404
Houston, TX 77024
Phone (832) 308-3470

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

21727 W Interstate 10
Ste 202
San Antonio, TX 78257
Phone (210) 245-4078

3320 Oakwell Ct
San Antonio, TX 78218
Phone (210) 802-4758

8019 S New Braunfels
Ste 120
San Antonio, TX 78235
Phone (210) 249-4838

1320 Wonder World Dr
Ste 108
San Marcos, TX 78666
Phone (512) 392-1411

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1851528228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OAKWELL CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183128",
            "telephone_number": "210-829-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565923",
            "telephone_number": "281-607-7739",
            "fax_number": "281-299-0091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8019 S New Braunfels Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782351069",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4513 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786331302",
            "country_code": "US",
            "telephone_number": "512-930-3909",
            "fax_number": "512-597-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6431 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Directors Row",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770928703",
            "country_code": "US",
            "telephone_number": "877-697-2447",
            "fax_number": "855-697-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21727 Ih 10 W Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782572106",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "KUDAKWASHE",
        "middle_name": "KUDA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036170736",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "P9644",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "P9644",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351829203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.