Andrew Malek, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

343756 Issued in LA

Practice address

1 Family Practice Dr
Kingston, NY 12401-6449

Phone

(845) 338-6400

Fax

(845) 339-7288

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

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.

• South Louisiana Medical Associates

  • Surgery Physician
  • Houma, LA
  • NPI 1942301379
  Medicare reassignment Care Compare group NPD
• Life Coast Community Health Center Inc

  • Internal Medicine Physician
  • Thibodaux, LA
  • NPI 1073157970
  Medicare reassignment NPD
• Life Coast Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Thibodaux, LA
  • NPI 1962113084
  NPD
• South Louisiana Medical Associates

  • Durable Medical Equipment & Medical Supplies
  • Houma, LA
  • NPI 1699218131
  NPD
• South Louisiana Medical Associates

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1710944012

  Family Medicine

  NPD

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

• Southern Regional Medical Corporation

  dba Leonard J. Chabert Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1326485749
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1982273116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 INDUSTRIAL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637055",
            "telephone_number": "985-868-9300",
            "fax_number": "985-851-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FAMILY PRACTICE DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016449",
            "telephone_number": "845-338-6400",
            "fax_number": "845-339-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "343756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Paige Mahony
• Adriane Maier
• Linda Mainetti, NPP
• Tara Laine Mainieri, NURSE PRACTITIONER
• Fiona V Malamen, L.M.T.
• Ryan Marie Mallory
• Megan Maloney, M.S. CCC-SLP
• Sarah Mambondiumwe, LPN
• Managed Physical Network Inc
• Rosemary Anne Mancuso, MS; R.D.; CDN; CDE

• Family Medicine Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.