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DR. ALEFIYAH MALBARI M.D.
NPI 1225270986
Pediatrics in New York, NY

Active since March 27, 2009PECOS Enrolled
71.01/100
CMS Quality Rating
1 GUSTAVE L. LEVY PLACE, DPT. OF PEDIATRICS - BOX 1512, MOUNT SINAI SCHOOL OF MEDICINE, NEW YORK, NY 10029(212) 241-6934(212) 241-4309 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alefiyah Malbari M.d. NPPES

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

DR. ALEFIYAH MALBARI M.D. (NPI 1225270986) is an individual pediatrics provider in New York, New York, licensed in New York (260004) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225270986
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ALEFIYAH MALBARICredential: M.D.
Location Address1 GUSTAVE L. LEVY PLACE, DPT. OF PEDIATRICS - BOX 1512, MOUNT SINAI SCHOOL OF MEDICINENew York, NY 10029
Mailing Address1 Gustave L. Levy Place, Dpt. Of Pediatrics - Box 1512, Mount Sinai School Of MedicineNew York, NY 10029 · (212) 241-6934 · Fax (212) 241-4309
Phone(212) 241-6934
Fax(212) 241-4309
Sole ProprietorNo
Enumeration DateMarch 27, 2009
Last NPPES UpdateJuly 10, 2013
✔ NPI 1225270986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 260004
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 GUSTAVE L. LEVY PLACE, DPT. OF PEDIATRICS - BOX 1512, New York, NY 10029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alefiyah Malbari 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.

Medicare Billing Reassignment

Medicare enrollment records show Alefiyah Malbari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dell Children's Medical Group
1,506 mi
Pediatrics
1000 HESTERS CROSSING RD
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dell Childrens Medical Group
  • 576 clinicians in this Medicare group
NPI 1790103869 (512) 628-1800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%48 patients5/55-star benchmark: 100%
Childhood Immunization Status
32%38 patients
Closing the Referral Loop: Receipt of Specialist Report
53%130 patients3/55-star benchmark: 87%
e-Prescribing
96%114 patients3/55-star benchmark: 100%
HIV Screening
14%22 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
46%37 patients2/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
71%258 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Alefiyah Malbari's NPI number?

The NPI number for Alefiyah Malbari is 1225270986. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Alefiyah Malbari located?

Alefiyah Malbari practices at 1 Gustave L. Levy Place, Dpt. Of Pediatrics - Box 1512 Mount Sinai School Of Medicine, New York, NY 10029. The listed phone number is (212) 241-6934.

What is Alefiyah Malbari's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alefiyah Malbari enrolled in Medicare?

Yes. Alefiyah Malbari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alefiyah Malbari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alefiyah Malbari reassigns Medicare benefits to Dell Children's Medical Group (Round Rock, TX). The 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 Alefiyah Malbari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alefiyah Malbari accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Alefiyah Malbari 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 Alefiyah Malbari was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.