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DEMETRIOS NECTARIOS MALLIOS MD
NPI 1144763095
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA

Active since November 27, 2016PECOS Enrolled
1520 SAN PABLO ST, HEALTH CONSULTATION CENETER II, SUITE 4300, LOS ANGELES, CA 90033(323) 442-5849 Get Directions Write a Review

NPPES record last updated: November 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Demetrios Nectarios Mallios Md NPPES

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

DEMETRIOS NECTARIOS MALLIOS MD (NPI 1144763095) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Los Angeles, California, licensed in California (146158) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144763095
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDEMETRIOS NECTARIOS MALLIOSCredential: MD
Location Address1520 SAN PABLO ST, HEALTH CONSULTATION CENETER II, SUITE 4300Los Angeles, CA 90033-5310
Mailing Address1520 San Pablo St, Health Consultation Ceneter Ii, Suite 4300Los Angeles, CA 90033-5310
Phone(323) 442-5849
Sole ProprietorNo
Enumeration DateNovember 27, 2016
✔ NPI 1144763095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in CA · 146158
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1520 SAN PABLO ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Demetrios Nectarios Mallios Md 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 90033 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

DR. CAROLINE HWANG M.D.
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
GISELLE MARIA PETZINGER M.D.
Psychiatry & Neurology (Neurology)
1520 SAN PABLO ST, SUITE 3000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5710
LIGAYA CASTILLO
Nurse Practitioner
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
ERICA ZOE SHOEMAKER MD
Psychiatry & Neurology (Psychiatry)
1520 SAN PABLO ST, STE 1652
LOS ANGELES, CA 90033
Los Angeles County (323) 442-6000
DR. MICHELE TORTORA PATO M.D.
Psychiatry & Neurology (Psychiatry)
1520 SAN PABLO ST, STE1652
LOS ANGELES, CA 90033
Los Angeles County (323) 442-6000
DR. EDY E SOFFER M.D.
Internal Medicine (Gastroenterology)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
DR. TRACY DEBRA LAWRENCE M.D.
Internal Medicine (Cardiovascular Disease)
1520 SAN PABLO ST, SUITE 1000
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5100
CAROLYN L. KALOOSTIAN MD
Family Medicine (Geriatric Medicine)
1520 SAN PABLO ST, 1ST FLOOR
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5900

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 Demetrios Mallios's NPI number?

The NPI number for Demetrios Mallios is 1144763095. It was assigned to this individual provider in the NPPES registry on November 27, 2016.

Where is Demetrios Mallios located?

Demetrios Mallios practices at 1520 San Pablo St Health Consultation Ceneter II, Suite 4300, Los Angeles, CA 90033. The listed phone number is (323) 442-5849.

What is Demetrios Mallios's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Demetrios Mallios enrolled in Medicare?

Yes. Demetrios Mallios is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Demetrios Mallios was last updated on November 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.