1. Home
  2. Directory
  3. Maryland
  4. Severna Park
  5. Surgery
  6. NPI Profile

JARED EMERSON MALLALIEU D.O.
NPI 1033393996
Surgery in Severna Park, MD

Active since December 27, 2007PECOS Enrolled
484 RITCHIE HWY STE A, SEVERNA PARK, MD 21146(410) 544-4600(410) 544-0997 Get Directions Write a Review

NPPES record last updated: June 25, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Emerson Mallalieu D.o. NPPES

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

JARED EMERSON MALLALIEU D.O. (NPI 1033393996) is an individual surgery provider in Severna Park, Maryland, licensed in Maryland (H68311) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033393996
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJARED EMERSON MALLALIEUCredential: D.O.
Location Address484 RITCHIE HWY STE ASeverna Park, MD 21146-2961
Mailing Address10845 Philadelphia RdWhite Marsh, MD 21162-1717 · (410) 335-0008 · Fax (410) 335-3113
Phone(410) 544-4600
Fax(410) 544-0997
Sole ProprietorNo
Enumeration DateDecember 27, 2007
Last NPPES UpdateJune 25, 2015
✔ NPI 1033393996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MD · H68311
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
484 RITCHIE HWY STE A, Severna Park, MD 21146
Open in Google Maps ↗

Other Identifiers 5

Other417363500MD · Medical Assistance
Other1622382ZF69MD · Medicare
Other95050303MD · Carefirst
Other242301MD · Jhhc
OtherU993 0001DC · Carefirst

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Emerson Mallalieu D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

TINA MARIE DIPAOLA FNP-C
Registered Nurse (General Practice)
484 RITCHIE HWY STE A
SEVERNA PARK, MD 21146
Anne Arundel County (443) 928-1003
ROSS VAN ANTWERP DO MPH PA LASER CENTER OF MARYLAND
Clinic/Center (Health Service)
484 RITCHIE HWY STE A
SEVERNA PARK, MD 21146
Anne Arundel County (410) 544-4600
LASER SURGERY CENTER, INC
Clinic/Center (Ambulatory Surgical)
484 RITCHIE HWY STE A
SEVERNA PARK, MD 21146
Anne Arundel County (410) 544-4600

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 Jared Mallalieu's NPI number?

The NPI number for Jared Mallalieu is 1033393996. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Jared Mallalieu located?

Jared Mallalieu practices at 484 Ritchie Hwy Ste A, Severna Park, MD 21146. The listed phone number is (410) 544-4600.

What is Jared Mallalieu's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jared Mallalieu enrolled in Medicare?

Yes. Jared Mallalieu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Mallalieu was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.