PHILLIP MALVASI D.O.L L C
NPI 1164943395
Family Medicine in Niles, OH

Q: What is Dr. Phillip Malvasi D.O. LLC's NPI number?

The NPI number for Dr. Phillip Malvasi D.O. LLC is 1164943395. It was assigned to this organization in the NPPES registry on June 28, 2017. The provider is also known as Phillip Malvasi D.O.L L C.

Q: What is Dr. Phillip Malvasi D.O. LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 28, 2017CLIA 36D0975272 · Waiver

1017 YOUNGSTOWN WARREN RD, NILES, OH 44446(330) 544-5600(330) 544-5550 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017, Jun 28, 2017 (3 updates tracked since 2017).

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About Phillip Malvasi D.o.l L C NPPES

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

PHILLIP MALVASI D.O.L L C (NPI 1164943395) is a healthcare organization registered as a family medicine in Niles, Ohio and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Phillip Malvasi Do Llc, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1164943395

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameDR. PHILLIP MALVASI D.O. LLC

Location Address1017 YOUNGSTOWN WARREN RDNiles, OH 44446-4620

Mailing Address1017 Youngstown Warren RdNiles, OH 44446-4620 · (330) 544-5600 · Fax (330) 544-5550

Phone(330) 544-5600

Fax(330) 544-5550

Organization SubpartNo

Authorized OfficialPhillip Malvasi Do LlcSole Member · (330) 544-5600

Enumeration DateJune 28, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1164943395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1017 YOUNGSTOWN WARREN RD, Niles, OH 44446

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Other Names 1

Other NamePhillip Malvasi D.o.l L C

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Malvasi D.o.l L C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip Malvasi D.O.L L C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Malvasi, DO

Family Practice

NPI 1376690438

1017 YOUNGSTOWN WARREN RD
Niles, OH 44446

(330) 544-5600

✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0975272

Phillip P Malvasi Do · Niles, OH

Active · expires Jul 2, 2028

CLIA Number36D0975272

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2026

Certificate Expiration DateJuly 2, 2028

Laboratory DirectorPhillip Malvasi Do

Laboratory Phone(330) 544-5600

Laboratory LocationPhillip P Malvasi Do1017 Youngstown Warren Road, Niles, OH 44446

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Dr. Phillip Malvasi D.O. LLC's NPI number?

The NPI number for Dr. Phillip Malvasi D.O. LLC is 1164943395. It was assigned to this organization in the NPPES registry on June 28, 2017. The provider is also known as Phillip Malvasi D.O.L L C.

Where is Dr. Phillip Malvasi D.O. LLC located?

Dr. Phillip Malvasi D.O. LLC is located at 1017 Youngstown Warren Rd, Niles, OH 44446. The listed phone number is (330) 544-5600.

What is Dr. Phillip Malvasi D.O. LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dr. Phillip Malvasi D.O. LLC enrolled in Medicare?

Yes. Dr. Phillip Malvasi D.O. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Phillip Malvasi D.O. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr. Phillip Malvasi D.O. LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dr. Phillip Malvasi D.O. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0975272) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dr. Phillip Malvasi D.O. LLC accept?

Health plans from CareSource list Dr. Phillip Malvasi D.O. LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Phillip Malvasi D.O. LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.