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MALAMA MEDICAL, LLC
NPI 1023775830
Preventive Medicine - Addiction Medicine in Baltimore, MD

Active since November 29, 2021
4604 YORK RD, BALTIMORE, MD 21212(443) 802-5130 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Feb 8, 2022, Feb 5, 2022 and 1 more (4 updates tracked since 2021).

About Malama Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALAMA MEDICAL, LLC (NPI 1023775830) is a healthcare organization registered as an addiction medicine in Baltimore, Maryland and active in the NPI registry since November 2021. The organization lists Kimela J Ferguson, Owner/ Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1023775830
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameMALAMA MEDICAL, LLC
Location Address4604 YORK RDBaltimore, MD 21212-4726
Mailing Address4604 York RdBaltimore, MD 21212-4726 · (443) 902-8017 · Fax (443) 201-7037
Phone(443) 802-5130
Organization SubpartNo
Authorized OfficialKimela J FergusonOwner/ Nurse Practitioner · (443) 802-5130
Enumeration DateNovember 29, 2021
Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1023775830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
4604 YORK RD, Baltimore, MD 21212
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KIMELA J FERGUSON NP-C
Nurse Practitioner
4604 YORK RD
BALTIMORE, MD 21212
Baltimore City (443) 802-5130
MALAMA MEDICAL
Nurse Practitioner (Psychiatric/Mental Health)
4604 YORK RD
BALTIMORE, MD 21212
Baltimore City (443) 802-5130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malama Medical, LLC's NPI number?

The NPI number for Malama Medical, LLC is 1023775830. It was assigned to this organization in the NPPES registry on November 29, 2021.

Where is Malama Medical, LLC located?

Malama Medical, LLC is located at 4604 York Rd, Baltimore, MD 21212. The listed phone number is (443) 802-5130.

What is Malama Medical, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

When was this NPI record last updated?

The NPPES record for Malama Medical, LLC was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.