SAMANTHA L. MALLORY MD
NPI 1336375369
Pediatrics - Pediatric Hematology-Oncology in Des Moines, IA

Active since June 04, 2009PECOS EnrolledAccepts Medicare Assignment
1215 PLEASANT ST STE 514, DES MOINES, IA 50309(515) 241-8912(515) 241-8988 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha L. Mallory Md NPPES

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

SAMANTHA L. MALLORY MD (NPI 1336375369) is an individual pediatric hematology-oncology provider in Des Moines, Iowa, licensed in Iowa (MD-43466) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2012).

NPPES Registry Identity

NPI1336375369
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameSAMANTHA L. MALLORYCredential: MD
Location Address1215 PLEASANT ST STE 514Des Moines, IA 50309-1418
Mailing Address1215 Pleasant St Ste 514Des Moines, IA 50309-1418 · (515) 241-8912 · Fax (515) 241-8988
Fax(515) 241-8988
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2012
Enumeration DateJune 4, 2009
Last NPPES UpdateJuly 12, 2016
NPI 1336375369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in IA · MD-43466
Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPediatricsTaxonomy 208000000X · License 27050 (OK)
1215 PLEASANT ST STE 514, Des Moines, IA 50309

Other Identifiers 2

Medicare PIN175150236IA
Medicaid1336375369IA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha L. Mallory Md 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 ID6204092281
PECOS Enrollment IDI20160628002754
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 2

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

Pediatrics (Pediatric Hematology-Oncology)
1215 PLEASANT ST STE 514
DES MOINES, IA 50309
Pediatrics (Pediatric Hematology-Oncology)
1215 PLEASANT ST STE 514
DES MOINES, IA 50309

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 Samantha Mallory's NPI number?

The NPI number for Samantha Mallory is 1336375369. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Where is Samantha Mallory located?

Samantha Mallory practices at 1215 Pleasant St Ste 514, Des Moines, IA 50309. The listed phone number is (515) 241-8912.

What is Samantha Mallory's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Samantha Mallory enrolled in Medicare?

Yes. Samantha Mallory 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.

What insurance does Samantha Mallory accept?

Health plans from Medica list Samantha Mallory 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 Samantha Mallory was last updated on July 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.