Individual provider Active NPI

Michael A. Malandra, M.D.

  • Pediatric Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1972829356
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
164773 Issued in AK
Practice address
3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone
(907) 929-7337
Fax
(907) 929-7330
NPI assigned
Apr 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 164773 AK Primary

Addresses

Primary practice location

3841 Piper Street
Suite T4-020
Anchorage, AK 99508

Mailing address

3841 Piper Street
Suite T4-020
Anchorage, AK 99508
Phone (907) 929-7337

Other practice location 1

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (607) 331-5061

Other identifiers 1

IdentifierTypeStateIssuer
1709527MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20200930001741 AK Practitioner - Pediatric MedicinePractitioner - Gastroenterology 7416195839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Pediatric Specialties LLCGroup PAC ID 9537435284, 3 clinicians

Practice addresses (Care Compare)

3841 Piper St
Suite T4 020
Anchorage, AK 99508-4673
Phone (907) 929-7337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
164773AKMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Pediatric Specialties LLC CurrentSince Dec 1, 2023 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 22, 2020 Accepting new patients

Locations

4100 Lake Otis Pkwy
Ste 312
Anchorage, AK 99508
Phone (907) 569-3668

3841 Piper St
Ste T4-020
Anchorage, AK 99508
Phone (907) 646-8500

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Interoperability endpoints

  • Direct secure messaging: mmalandra1347098@ak.providencedirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1972829356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-929-7337",
            "fax_number": "907-929-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 PIPER STREET",
            "address_2": "SUITE T4-020",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-929-7337",
            "fax_number": "907-929-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606112991",
            "country_code": "US",
            "telephone_number": "607-331-5061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALANDRA",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-11",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AK",
            "license": "164773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709527",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.