SHAUNN DOMINIQUE MALAKA DPM NPI 1770724148

NPI Information

  • NPI: 1770724148
  • Provider Name: SHAUNN DOMINIQUE MALAKA, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14904 JEFFERSON DAVIS HWY
    STE 105
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (703) 490-8171

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NPI Details

Shaunn Dominique Malaka, DPM is a foot and ankle surgery podiatrist in Woodbridge, VA with 20 years of experience. Shaunn Dominique Malaka, DPM NPI is 1770724148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:2006

The provider's business location address is:

14904 JEFFERSON DAVIS HWY
STE 105
WOODBRIDGE, VA
ZIP 22191-908
Phone: (703) 490-8171
Fax: (703) 490-8172

The NPI 1770724148 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).

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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
  • New patient custodial care facility, group care, or assisted living visit, typically 30 minutes (HCPCS:99325)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)

The enumeration date for this NPI number is 3/16/2009 and was last updated on 1/11/2018.

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
1213ES0103XPodiatristFoot & Ankle Surgery0103301025VIRGINIAYes
2213ES0103XPodiatristFoot & Ankle SurgeryPO1000072DISTRICT OF COLUMBIANo
3213ES0103XPodiatristFoot & Ankle Surgery01481MARYLANDNo
4213ES0103XPodiatristFoot & Ankle Surgery684COLORADONo

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: 11/21/2025

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