NPI Details
Charles Mallender, MD is an internal medicine in Murray, UT with 42 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Charles Mallender, MD NPI is 1942261037. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984
The provider's business location address is:
5169 S COTTONWOOD ST
MURRAY, UT
ZIP 84107-767
Phone: (801) 507-3513
The NPI 1942261037 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.
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Programming of dual lead pacemaker system (HCPCS:93280)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Programming of multiple lead implantable defibrillator system (HCPCS:93284)
- Programming of dual lead implantable defibrillator system (HCPCS:93283)
- Programming of single lead pacemaker system (HCPCS:93279)
- Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
The enumeration date for this NPI number is 3/29/2006 and was last updated on 11/18/2015.
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 |
| 1 | 207R00000X | Internal Medicine | | 180838-1205 | UTAH | Yes |
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 |
| 1 | $$$$$$$$$03001 | OTHER | UTAH | BC/BS |
| 2 | $$$$$$$$$08001 | OTHER | UTAH | BC/BS |
| 3 | $$$$$$$$$04001 | OTHER | UTAH | BC/BS |
| 4 | $$$$$$$$$05001 | OTHER | UTAH | BC/BS |
| 5 | $$$$$$$$$06001 | OTHER | UTAH | BC/BS |
| 6 | E30722 | MEDICARE UPIN | UTAH | |
| 7 | P00214602 | OTHER | UTAH | RAILROAD |
| 8 | $$$$$$$$$09001 | OTHER | UTAH | BC/BS |
| 9 | $$$$$$$$$07001 | OTHER | UTAH | BC/BS |
| 10 | D0022 | MEDICAID | UTAH | |
