Individual provider Active NPI

John Paul Malayil, M.D.

  • Pain Medicine Physician
  • Sun City West, AZ
National Provider Identifier
1851554927
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
50322 Issued in PA
Practice address
14430 W Granite Valley Dr, Suite A1
Sun City West, AZ 85376-8537
Phone
(623) 777-4747
NPI assigned
Jul 8, 2008
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD442783 PA
Pain Medicine (Anesthesiology) Physician 207LP2900X 50322 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine Physician 208VP0000X 50322 PA Primary

Addresses

Primary practice location

14430 W Granite Valley Dr, Suite A1
Sun City West, AZ 85376-8537

Mailing address

PO Box 5068
Sun City West, AZ 85376-5068
Phone (623) 777-4747

Other practice location 1

17100 N 67th Ave Ste A1
Glendale, AZ 85308-3605
Phone (623) 777-4747

Other identifiers 1

IdentifierTypeStateIssuer
078254MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160226000597 AZ Practitioner - Pain ManagementPractitioner - Anesthesiology 1850555384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novaspine Pain Institute PLCGroup PAC ID 9931323359, 20 clinicians

Practice addresses (Care Compare)

14300 W Granite Valley Dr
Suite A1
Sun City West, AZ 85375-5797
Phone (623) 777-4747

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50322PAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novaspine Pain Institute, PLC Pain Medicine CurrentSince Jul 1, 2021 Accepting new patients
Avon Surgical Centers, LLC CurrentSince May 10, 2025 Accepting new patients
Novaspine Pain Institute, PLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients

Locations

10825 W McDowell Rd
Ste 320
Avondale, AZ 85392
Phone (602) 698-7325

17100 N 67th Ave
Ste 300
Glendale, AZ 85308
Phone (623) 878-8999

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

14300 W Granite Valley Dr
Ste A1
Sun City West, AZ 85375
Phone (602) 546-4934

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1851554927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5068",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853765068",
            "telephone_number": "623-777-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 W GRANITE VALLEY DR, SUITE A1",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853768537",
            "telephone_number": "623-777-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17100 N 67th Ave Ste A1",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853083605",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALAYIL",
        "first_name": "JOHN PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD442783",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AZ",
            "license": "50322",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "50322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078254",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.