MICHAEL CRAIG MALLEA M.D. NPI 1043235377

NPI Information

  • NPI: 1043235377
  • Provider Name: MICHAEL CRAIG MALLEA, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3355 RIVERBEND DR STE 200
    SPRINGFIELD, OR
    ZIP 97477
  • Phone: (541) 868-9247

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NPI Details

Michael Craig Mallea, M.D. is a nephrology internal medicine in Springfield, OR with 44 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Michael Craig Mallea, M.D. NPI is 1043235377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1981

The provider's business location address is:

3355 RIVERBEND DR STE 200
SPRINGFIELD, OR
ZIP 97477-800
Phone: (541) 868-9247
Fax: (541) 485-0452

The NPI 1043235377 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 6/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistM7108IDAHONo
2207RN0300XInternal MedicineNephrologyM7108IDAHONo
3207RN0300XInternal MedicineNephrologyMD20251OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112252OTHERIDAHOBLUE CROSS
2390004362OTHERIDAHORR MEDICARE
3000010002160OTHERIDAHOBLUE SHIELD
4003813700MEDICAIDIDAHO
5150023MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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