Regan Malcolm, MD
Individual provider Active NPI Family Medicine Physician · McConnell Afb, KS
NPI 1992296594 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1992296594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32461 (NE)
- Practice address
- 57950 Leavenworth St
McConnell Afb, KS 67221-3505 - Phone
- (316) 759-0000
- NPI assigned
- May 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32461 | NE | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32461 | NE | Yes |
Addresses
Primary practice location
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Mailing address
57950 Leavenworth St
McConnell Afb, KS 67221-3505
Other providers in McConnell Afb, KS
- Brad A Larreau
- Ashley Li
- Arlington Dale Lindskog
- Michael D Loew
- Jillian C Lyons
- National Vision, Inc.
- Richard L Nault
- Alisa A Norlin
- Harmony Osborn
- Thoa Ngoc Pham
All providers in McConnell Afb, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. 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.