KEVIN THOMAS MALONE MD
NPI 1174219166
Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is Kevin Malone's NPI number?

The NPI number for Kevin Malone is 1174219166. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Q: What is Kevin Malone's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Malone was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 13, 2023PECOS Enrolled

2401 S 31ST ST # 11AG062, TEMPLE, TX 76508(254) 724-5815 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2025, Apr 13, 2023 (2 updates tracked since 2023).

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About Kevin Thomas Malone Md NPPES

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

KEVIN THOMAS MALONE MD (NPI 1174219166) is an individual student in an organized health care education/training program in Temple, Texas, licensed in Texas (V7003) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174219166

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN THOMAS MALONECredential: MD

Location Address2401 S 31ST ST # 11AG062Temple, TX 76508-0001

Mailing Address2401 S 31st St # 11ag062Temple, TX 76508-0001 · (254) 724-5815

Phone(254) 724-5815

Sole ProprietorNo

Enumeration DateApril 13, 2023

Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1174219166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · V7003

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.

2401 S 31ST ST # 11AG062, Temple, TX 76508

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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)

Kevin Thomas Malone 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.

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.

SHEA STANDLEY DO

Student in an Organized Health Care Education/Training Program