David Allan Malkevich, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0081428 Issued in FL

Practice address

733 NW 23Rd St
Wilton Manors, FL 33311-3743

Phone

(954) 661-7495

Fax

(954) 553-0225

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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 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

Specialty

Emergency Medicine

Education

Boston University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Emergency Medicine of Broward LLCGroup PAC ID 5991793002, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

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.

• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Coral Springs, FL
  • NPI 1871542969
  Medicare reassignment Care Compare group NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Deerfield Beach, FL
  • NPI 1407805591
  NPD
• Phoenix Emergency Medicine of Broward LLC

  • Emergency Medicine Physician
  • Ft Lauderdale, FL
  • NPI 1598714685
  NPD
• Doctors ER Services, Inc.

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1346296605
  NPD (past)
• Naples Emergency Physicians LLC

  • Nurse Practitioner
  • Naples, FL
  • NPI 1598748006

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1265460232
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1952351702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 NW 23RD ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113743",
            "telephone_number": "954-661-7495",
            "fax_number": "954-553-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 NW 23RD ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113743",
            "telephone_number": "954-661-7495",
            "fax_number": "954-553-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKEVICH",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0081428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260287300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Angela Madden, MD
• Maesk Group Inc.
• Kennesha A. Mair, MSW
• Samuel Majer
• Mario Maldonado Jr.
• Tamika Mallard I, SOCIAL WORKER, BS
• Ashley Mann, MS
• Manor Pines Convalescent Center, LLC
• Manuel a Castro MD PA
• Marc J Romano, Psy.D., Inc.

• Emergency Medicine Physician in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.

Verify at the official NPI Registry.