Stephen Mallernee, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

05494R Issued in LA

Practice address

1415 Tulane Ave
Tulane Medical Center
New Orleans, LA 70112

Phone

(504) 588-5711

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Independence Emergency Group LLC

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1528384773
  Medicare reassignment NPD
• Van Meter Emergency Physicians Inc. Apmc

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1649410697
  Medicare reassignment NPD
• Terrebonne Parish Hospital Service District #1

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1740248129
  NPD (past)
• Van Meter MD & Associates

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1275638272
  NPD (past)
• Keith Van Meter & Associates

  • Multi-Specialty Clinic/Center
  • Bay St. Louis, MS
  • NPI 1093811051
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1912916420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BURGUNDY ST",
            "address_2": "UNIT 5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701162438",
            "telephone_number": "504-329-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "address_2": "TULANE MEDICAL CENTER",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-588-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLERNEE",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "05494R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336033",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Humza Malik, MD
• Karan Malik, DO, MSC
• Manal Sadaf Malik, MBA
• Kristen Malkiewicz
• Laura Ann Mallaley, RN
• Harminder S Mallik, MD
• Kristen Mallory
• Emma Anne Malloy, MD
• Anita Mallya
• Kristin Malone

• Emergency Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.