Individual provider Active NPI

Patrick Malie, DO

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1912387473
Registry record updated May 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q7416 Issued in TX
Practice address
3333 Research PLZ
San Antonio, TX 78235
Phone
(210) 297-3000
NPI assigned
May 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q7416 TX Primary

Addresses

Primary practice location

3333 Research PLZ
San Antonio, TX 78235

Mailing address

633 S Saint Marys St Unit 1414
San Antonio, TX 78205-3518
Phone (330) 502-9705

Other practice location 1

1912 Al Highway 157
Cullman, AL 35058
Phone (256) 737-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160606000509 TX Practitioner - Internal Medicine 7315242682 Reassigns benefits to 2 organizations
I20171024003021 AL Practitioner - Emergency Medicine 7315242682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7416TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Aug 10, 2022 Accepting new patients
Lakeland Physicians LLC Emergency Medicine CurrentSince Feb 9, 2018 Accepting new patients
Lakeland Physician Practices LLC Past Accepting new patients

Locations

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

22014 Highway 5
Lynn, AL 35575
Phone (205) 485-7113

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

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": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556928000000",
    "number": "1912387473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S SAINT MARYS ST UNIT 1414",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053518",
            "telephone_number": "330-502-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 RESEARCH PLZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78235",
            "telephone_number": "210-297-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1912 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "35058",
            "country_code": "US",
            "telephone_number": "256-737-2682",
            "fax_number": "256-737-2152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIE",
        "first_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-31",
        "last_updated": "2019-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.