Individual provider Active NPI

Sean Maleknia, PA-C

  • Medical Physician Assistant
  • Birmingham, AL
National Provider Identifier
1902205438
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
615 18TH St S
Birmingham, AL 35233-1826
Phone
(407) 758-7565
NPI assigned
Aug 20, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 65545 FL
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

615 18TH St S
Birmingham, AL 35233-1826

Mailing address

524 10TH CT S
Birmingham, AL 35205-4533
Phone (407) 758-7565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200422001150 AL Practitioner - Physician Assistant 7012347677 Reassigns benefits to 1 organization
I20240911004779 DC Practitioner - Physician Assistant 7012347677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65545FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jul 21, 2024 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jun 30, 2024 Accepting new patients
Inova Health Care Services Single Specialty CurrentSince Jun 30, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

701 Princeton Ave SW
Ste Crs
Birmingham, AL 35211

615 18th St S
Birmingham, AL 35233
Phone (205) 934-7100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: smaleknia1173695@soc.inova.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1902205438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 10TH CT S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054533",
            "telephone_number": "407-758-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 18TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331826",
            "telephone_number": "407-758-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKNIA",
        "first_name": "SEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-20",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "65545",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.