Individual provider Active NPI

Daniel P Malone, MD

  • Diagnostic Radiology Physician
  • St Francis, WI
National Provider Identifier
1972540664
Registry record updated Dec 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39285 Issued in WI
Practice address
2000 E Layton Ave
St Francis, WI 53235-6053
Phone
(414) 747-8856
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 39285 WI Primary

Addresses

Primary practice location

2000 E Layton Ave
St Francis, WI 53235-6053

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-6440

Other identifiers 1

IdentifierTypeStateIssuer
32378300MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dmalone13314@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20040126000378 WI Practitioner - Diagnostic Radiology 9436051844 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Minnesota Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians
Lakeshore Medical Clinic LLCGroup PAC ID 7719890730, 375 clinicians

Practice addresses (Care Compare)

1005 Spring City Dr
Waukesha, WI 53186-5934
Phone (262) 371-4040

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

1055 N Mayfair Rd
Wauwatosa, WI 53226-3436
Phone (414) 476-8450

1100 Gateway CT
West Bend, WI 53095-8539
Phone (262) 335-8600

1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 456-2030

120 Chapman Farms Blvd
Mukwonago, WI 53149-9337
Phone (262) 363-6160

12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200

12500 Aurora Dr
Pleasant Prairie, WI 53158-1227
Phone (262) 857-5000

13250 Washington Ave
Mount Pleasant, WI 53177-1516
Phone (262) 884-4000

14555 W National Ave
Suite 120
New Berlin, WI 53151-4494
Phone (262) 827-2955

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

1475 W Grand Ave
Port Washington, WI 53074-2074
Phone (262) 268-5100

1550 Hobbs Dr
Delavan, WI 53115-2027
Phone (262) 740-4200

1640 E Sumner St
Hartford, WI 53027-2684
Phone (262) 670-4000

1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200

2000 E Layton Ave
Suite 130
St Francis, WI 53235-6067
Phone (414) 747-8856

201 E Morrissey Dr
Elkhorn, WI 53121-4395
Phone (262) 723-3100

205 Valley Ave
West Bend, WI 53095-5312
Phone (262) 338-1123

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999
Phone (920) 907-4800

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

248 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-8000

252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-7000

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Aurora Medical Center - Summit Hospital, Summit, WI, CCN 520206
  • Aurora Medical Center Hospital, Grafton, WI, CCN 520207
  • Aurora Lakeland Medical Center Hospital, Elkhorn, WI, CCN 520102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39285WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare, Inc. CurrentSince Mar 14, 2011 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Dec 14, 2014 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Mar 14, 2011 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 1, 2005 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Dec 14, 2014 Accepting new patients
Aurora Health Care Metro, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Aurora Medical Group, Inc. Diagnostic Radiology CurrentSince Sep 1, 2005 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Great Lakes Radiologists SC Diagnostic Radiology Past Accepting new patients

Locations (25 of 36)

112 N US Highway 141
Crivitz, WI 54114
Phone (715) 735-6621

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434

210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

11035 W Forest Home Ave
#118
Hales Corners, WI 53130
Phone (414) 525-9000

1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000

1032 E Sumner St
Hartford, WI 53027
Phone (262) 670-4300

10117 74th St
Ste 110
Kenosha, WI 53142
Phone (262) 697-1919

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000

3003 University Dr
Marinette, WI 54143
Phone (715) 735-4200

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

945 N 12th St
Ste E360
Milwaukee, WI 53233
Phone (414) 219-7226

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

225 Eagle Lake Ave
Mukwonago, WI 53149
Phone (262) 363-3360

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2801 S Moorland Rd
New Berlin, WI 53151
Phone (262) 860-7800

620 Warren St
Redgranite, WI 54970
Phone (920) 566-0620

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

Interoperability endpoints

  • Direct secure messaging: dmalone13314@direct.myadvocateaurora.org

Organizations & group practices 9

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 6

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1972540664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E LAYTON AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532356053",
            "telephone_number": "414-747-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8901 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532272409",
            "country_code": "US",
            "telephone_number": "414-328-6440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "39285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32378300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmalone13314@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "8901 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8901 W Lincoln Ave",
            "city": "West Allis",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532272409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Francis, WI

Sources for this page

Verify at the official NPI Registry.