Michael A. Malandra

M.D. | Pediatric Gastroenterology | Male

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Complete Profile:

Michael A. Malandra basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Michael A. Malandra
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

Business Address:

Michael A. Malandra address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4001 Dale St Ste 201 Anchorage, AK, 99508-5445 United States
Phone Number :	907-212-2240
Fax Number :	907-212-2872

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1972829356
NPI Entity Type :	Individual
First Enrolment Date :	11 Apr, 2010
Last Updated On :	21 Mar, 2022

Medicare Participation:

Michael A. Malandra participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7416195839
Medicare Enrollment ID :	I20200930001741
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2010
Accepts Medicare?	Yes. Michael A. Malandra accepts medicare insurance.

Group Practice Association:

Michael A. Malandra is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael A. Malandra is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Providence Health And Services Washington	1557408176	136	910 Compassion Cir Anchorage, AK - 995041645 Ph: 9072129100	Yes
Providence Health And Services Washington	1557408176	136	920 Compassion Cir Anchorage, AK - 995041645 Ph: 9072129200	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael A. Malandra are as mentioned. Primary taxonomy code for Michael A. Malandra, M.D. is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	164773	AK

Legacy Identifiers:

Other legacy medical identifiers of Michael A. Malandra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1709527	MEDICAID	AK

Other Practice Locations:

Practice Address	City, State	Phone Number
225 E CHICAGO AVE, CHICAGO, IL, 60611-2991 United States	CHICAGO, IL	607-331-5061

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 4105 Portland, OR, 97208-4105 United States
Phone Number :	866-907-1068
Fax Number :	425-917-9141

Business Location:

Patients can refer following map for directions to Michael A. Malandra practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.