Anna Malesky, M.D.
Individual provider Active NPI Family Medicine Physician · Lafayette, LA
NPI 1962885392 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1962885392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 321075 (LA)
- Practice address
- 2390 W Congress St
Lafayette, LA 70506-4205 - Phone
- (337) 261-6690
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200212000350 | LA | Practitioner - Family Practice | 0547523441 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 321075 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acadiana Concern for AIDS Relief Education and Support, Inc. | Current |
Accepting new patients | |
| Lafayette Health Ventures, Inc | Past |
Accepting new patients | |
| Acadiana Concern for AIDS Relief Education and Support, Inc. | Past | Accepting new patients |
Locations
809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 321075 | LA | Yes |
Addresses
Primary practice location
2390 W Congress St
Lafayette, LA 70506-4205
Mailing address
809 Martin Luther King Jr Dr
Lafayette, LA 70501-1884
Phone (337) 232-2437
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All providers in Lafayette, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.