Active NPI
Jessica Malachowski, MD
- Emergency Medicine Physician
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A170118
- Practice address
- 200 Clinic Dr
Madisonville, KY 42431-1661 - Phone
- (270) 825-6680
- Fax
- (270) 825-7266
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 51161 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 51661 | KY | |
| Emergency Medicine Physician | 207P00000X | A170118 | CA | Primary |
Addresses
Primary practice location
200 Clinic Dr
Madisonville, KY 42431-1661
Mailing address
200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7200
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500
Hospital & facility affiliations
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A170118 | CA | MD | Emergency Medicine Physician |
| 51661 | KY | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Baptist Health Madisonville Inc | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Interoperability endpoints
- jmalachowski562744@hisp.ehr.sutterhealth.org
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
CA, Emergency Medicine
-
- Emergency Medicine Physician
- Santa Cruz, CA
- NPI 1811274483
Emergency Medicine
-
- Skilled Nursing Facility
- Madisonville, KY
- NPI 1467448928
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
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": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1902255458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661",
"telephone_number": "270-825-7200",
"fax_number": "270-825-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661",
"telephone_number": "270-825-6680",
"fax_number": "270-825-7266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALACHOWSKI",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "51161",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "51661",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A170118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.