Individual provider Active NPI

Mark A Malias, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Pierce, FL
National Provider Identifier
1912993296
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME69913 Issued in FL
Practice address
2100 Nebraska Ave Ste 201
Fort Pierce, FL 34950-4832
Phone
(772) 465-8100
Fax
(772) 465-8689
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME69913 FL Primary

Addresses

Primary practice location

2100 Nebraska Ave Ste 201
Fort Pierce, FL 34950-4832

Mailing address

2100 Nebraska Ave Ste 201
Fort Pierce, FL 34950-4832
Phone (772) 465-8100

Other identifiers 2

IdentifierTypeStateIssuer
250870200MedicaidFL
28904OtherFLINDIVIDUAL BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20071018000030 FL Practitioner - Thoracic Surgery 0840386132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

2100 Nebraska Ave
Suite 201
Fort Pierce, FL 34950-4832
Phone (772) 465-8100

Hospital & facility affiliations

  • Anchor Health Homecare Services, LLC Home health agency, Boca Raton, FL, CCN 687311
  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)24
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69913FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawnwood Cardiovascular Surgery LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Sep 1, 2021 Accepting new patients
Treasure Coast Thoracic Surgery, P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 2008 Accepting new patients
NPI 1689843211 Past Accepting new patients
Thoracic & Cardiovascular Surgeons LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

5301 S Congress Ave
Bldg 300
Atlantis, FL 33462
Phone (561) 548-4900

2100 Nebraska Ave
Ste 201
Fort Pierce, FL 34950
Phone (772) 461-1191

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mark.malias@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1912993296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504832",
            "telephone_number": "772-465-8100",
            "fax_number": "772-465-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504832",
            "telephone_number": "772-465-8100",
            "fax_number": "772-465-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIAS",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME69913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250870200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS",
            "identifier": "28904",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.