Active NPI
Michael Malouf, CRNA
- Certified Registered Nurse Anesthetist
- Weston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN-1504
- Practice address
- 74 S Highway 36
Weston, ID 83286-5000 - Phone
- (208) 390-7843
- NPI assigned
- Nov 12, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
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.
-
- Anesthesiology Physician
- Kamuela, HI
- NPI 1346621190
HI, Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Buhl, ID
- NPI 1568950566
-
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
-
- Surgery Physician
- Twin Falls, ID
- NPI 1649962671
-
- Rural Health Clinic/Center
- Jerome, ID
- NPI 1376160457
-
- Medicare Defined Swing Bed Hospital Unit
- Gooding, ID
- NPI 1275703241
-
- Rural Health Clinic/Center
- Gooding, ID
- NPI 1518377019
-
- Ambulatory Surgical Clinic/Center
- Anchorage, AK
- NPI 1093710717
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1790718591
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Canyon Medical Center IncMedstream Anesthesia Hawaii LLC
Practice addresses (Care Compare)
267 N Canyon Dr
Gooding, ID 83330-5500
Phone (208) 934-4433
67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4444
Hospital & facility affiliations
- North Canyon Medical Center
- North Hawaii Community Hospital, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, AK, CA, ID
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121019000361 | HI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951583236 | Reassigns benefits to 1 organization |
| I20230420002877 | AK | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951583236 | Reassigns benefits to 1 organization |
| I20240717004899 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951583236 | Reassigns benefits to 1 organization |
| I20250410001749 | ID | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1951583236 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002286 | CA | MD | Acute Care Nurse Practitioner |
| 598527-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia Hawaii, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Canyon Medical Center Inc. | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| Chugach Anesthesia, LLC | Current | Accepting new patients | |
| Sda Services of Ca | Current | Accepting new patients | |
| New Mexico Anesthesia Specialists LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Relief LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Alaska Spine Center, LLC | Past | Accepting new patients | |
| Inland Cardiology Associates, P.S. | Past | Accepting new patients | |
| American Anesthesiology of Syracuse, PC | Past | Accepting new patients |
Locations
1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100
4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100
3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN-1504 | HI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 598527-1 | NY |
Addresses
NPPES NPI RegistryPrimary practice location
74 S Highway 36
Weston, ID 83286-5000
Mailing address
PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2017.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1912208554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2295",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288022295",
"telephone_number": "828-398-5244",
"fax_number": "828-360-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 S HIGHWAY 36",
"city": "WESTON",
"state": "ID",
"postal_code": "832865000",
"telephone_number": "208-390-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALOUF",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-12",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "HI",
"license": "APRN-1504",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "598527-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.