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Deactivated NPI 1629059944 Deactivated / Inactive NPI Male Practitioner

Dr. Anthony Malacaman , MD

Internal Medicine • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Anthony Malacaman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2005
NPI Deactivation Date June 26, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Malacaman, MD was a registered Internal Medicine practicing in Jacksonville, FL. Throughout an active medical career spanning 14 years, Dr. Malacaman provided care at the practice location at 820 PRUDENTIAL DR STE 304 until profile deactivation on 2019-06-26.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with moderate level of medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

820 Prudential Dr Ste 304
Credentialing Department

Jacksonville, FL 322078205

Telephone 9043463649
Fax 9043485627

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
568 Specialists

Practicing in Jacksonville, FL (10650 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
258 107 $148.00 $74.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
123 60 $212.00 $105.83
99238 Hospital discharge day management, 30 minutes or less
49 49 $148.00 $74.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
28 28 $413.00 $205.97
99219 Hospital observation care, typically 50 minutes
27 27 $277.00 $138.42
99239 Hospital discharge day management, more than 30 minutes
27 27 $217.00 $108.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
16 16 $280.00 $139.77
99220 Hospital observation care, typically 70 minutes
15 15 $378.00 $188.94
99217 Hospital observation care on day of discharge
14 14 $148.00 $74.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME95686

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Dr. John Davenport , MD

Internal Medicine

NPI 1033125109

Doctor of Medicine (M.D.)

Dr. Donald Mars , MD

Internal Medicine

NPI 1033181177

Doctor of Medicine (M.D.)

NPI 1073777926

Doctor of Medicine (M.D.)

NPI 1083874879

Doctor of Medicine (M.D.)

NPI 1114999521

Doctor of Medicine (M.D.)

NPI 1134327950

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated June 26, 2019

Record deactivated on June 26, 2019

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Updated Business Mailing Address February 04, 2019

Registered at PO BOX 45443, SALT LAKE CITY, UT 841450443 (Tel: 9042021032)

NPI Profile Active November 17, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 17, 2015

Registered at 820 PRUDENTIAL DR STE 304, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 322078205 (Tel: 9043463649)

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Updated Business Mailing Address November 17, 2015

Registered at PO BOX 44004, JACKSONVILLE, FL 322314004 (Tel: 9042021032)

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Provider Name / Credentials Updated November 17, 2015

Recorded as ANTHONY MALACAMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2015

Internal Medicine (License #ME95686 in FL)

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Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629059944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: November 17, 2015
Deactivation Date: June 26, 2019

Mailing Address

Po Box 44004

Jacksonville, FL 322314004

Phone: 9042021032

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.