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BRIAN HENRY MALONE
NPI 1164089694
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since May 21, 2019PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107(215) 955-2370(215) 955-0677 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, May 21, 2019 (2 updates tracked since 2019).

About Brian Henry Malone NPPES

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

BRIAN HENRY MALONE (NPI 1164089694) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT019069) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1164089694
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN HENRY MALONE
Location Address111 S 11TH ST STE 8290Philadelphia, PA 19107-4824
Mailing Address111 S 11th St Ste 8290Philadelphia, PA 19107-4824 · (215) 955-2370 · Fax (215) 955-0677
Phone(215) 955-2370
Fax(215) 955-0677
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateMay 21, 2019
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1164089694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · OT019069
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedAnesthesiologyTaxonomy 207L00000X · License OS023736 (PA)
111 S 11TH ST STE 8290, Philadelphia, PA 19107
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 S 11th St Ste 8270Philadelphia, PA 19107-4824 · Phone (215) 955-2370 · Fax (215) 955-0677

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Henry Malone is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658604350
PECOS Enrollment IDI20240621000258, I20260430002395
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brian Malone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jefferson University Physicians
0.2 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000
Methodist Associates In Healthcare, Inc
0.6 mi
Physical Medicine & Rehabilitation
1513 RACE ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 600 clinicians in this Medicare group
NPI 1508516451 (215) 587-3406
Kennedy Medical Group Practice, P.C.
11 mi
Family Medicine
205 E LAUREL RD, 2ND FLOOR
Stratford, NJ 08084
  • Reassigned Medicare billing, New Jersey enrollment
  • 438 clinicians in this Medicare group
NPI 1437410990 (856) 816-0255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
14 services14 patients
Anesthesia for other procedure on neck area (1 year or older) 00320
Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

JESSICA TAN MD, PHD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
MICHAEL ROBERT SISKO MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
SEAN WASHEK
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-9837
DR. NUPUR RAJEEV HEGDE DO
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
ANGELA YANG MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
KHANH BUI
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
DAVID SWEENEY RUBIN DO
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370
STUTI TANK MD
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-2370

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 Brian Malone's NPI number?

The NPI number for Brian Malone is 1164089694. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Brian Malone located?

Brian Malone practices at 111 S 11th St Ste 8290, Philadelphia, PA 19107. The listed phone number is (215) 955-2370.

What is Brian Malone's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brian Malone enrolled in Medicare?

Yes. Brian Malone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brian Malone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Malone reassigns Medicare benefits to 3 organizations: Jefferson University Physicians (Philadelphia, PA), Methodist Associates In Healthcare, Inc (Philadelphia, PA) and Kennedy Medical Group Practice, P.C. (Stratford, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Malone affiliated with any hospitals?

According to CMS data, Brian Malone is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Brian Malone was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.