MALACHIA TROUT M.D.
NPI 1063641579
Internal Medicine in Fargo, ND

Active since July 06, 2009PECOS Enrolled
2400 32ND AVE S, FARGO, ND 58103(701) 234-8800 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Malachia Trout M.d. NPPES

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

MALACHIA TROUT M.D. (NPI 1063641579) is an individual internal medicine provider in Fargo, North Dakota, licensed in North Dakota (12886) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063641579
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMALACHIA TROUTCredential: M.D.
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing Address426 Liberty LnHorace, ND 58047-4523
Sole ProprietorNo
Enumeration DateJuly 6, 2009
Last NPPES UpdateJanuary 15, 2014
NPI 1063641579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in ND · 12886 Licensed in NE · 5984
Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License 5984 (NE)
2400 32ND AVE S, Fargo, ND 58103

Other Names 1

Former Name (1)Malachia Clark

Other Identifiers 2

Medicare PINN719182ND
Medicare PINN719183ND

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Malachia Trout M.d. 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 58103 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
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 20

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

Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103

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 Malachia Trout's NPI number?

The NPI number for Malachia Trout is 1063641579. It was assigned to this individual provider in the NPPES registry on July 6, 2009. The provider is also known as Malachia Clark.

Where is Malachia Trout located?

Malachia Trout practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-8800.

What is Malachia Trout's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Malachia Trout enrolled in Medicare?

Yes. Malachia Trout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Malachia Trout was last updated on January 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.