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THRESHIA MALCOLM M.D.
NPI 1609300987
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 13, 2017PECOS Enrolled
245 N 15TH ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 2, 2025, Jun 21, 2019, Apr 13, 2017 (3 updates tracked since 2017).

About Threshia Malcolm M.d. NPPES

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

THRESHIA MALCOLM M.D. (NPI 1609300987) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609300987
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTHRESHIA MALCOLMCredential: M.D.
Location Address245 N 15TH STPhiladelphia, PA 19102
Mailing Address185 Christina Landing DrWilmington, DE 19801-5253
Phone(215) 762-7000
Sole ProprietorNo
Enumeration DateApril 13, 2017
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1609300987 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
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.
245 N 15TH ST, Philadelphia, PA 19102
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Secondary Practice Locations 3

Location 1177 Ft Washingtn Ave # 7Gs-313New York, NY 10032-3733 · Phone (212) 305-2500
Location 22021 Perdido St Fl 8New Orleans, LA 70112-1352 · Phone (504) 568-7912
Location 3245 N 15th StPhiladelphia, PA 19102 · Phone (215) 762-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Threshia Malcolm 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.

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.

TIRUMALA LAKSHMI KUMARI PENTAKOTA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MAIL STOP 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1179
ANDREI PLAGOV M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1673
DR. BRIANNE GILIBERTO D.O.
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2365
DR. VADIM KEYFES M.D.
Emergency Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2365
VIOLETA R GAMARRA MD
Pathology (Anatomic Pathology & Clinical Pathology)
245 N 15TH ST, MS 435
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-8873
DR. CHRISTOPHER SCOTT BODDEN MD
Internal Medicine
245 N 15TH ST, 6TH FLOOR, MS 427
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7916
DREXEL COLLEGE OF MEDICINE
General Acute Care Hospital (Critical Access)
245 N 15TH ST
PHILA, PA 19102
Philadelphia County (215) 762-4984
LAUREN SCHMALZ MD
Internal Medicine
245 N 15TH ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7000

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 Threshia Malcolm's NPI number?

The NPI number for Threshia Malcolm is 1609300987. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Threshia Malcolm located?

Threshia Malcolm practices at 245 N 15th St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Threshia Malcolm's specialty?

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

Is Threshia Malcolm enrolled in Medicare?

Yes. Threshia Malcolm is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Threshia Malcolm was last updated on April 2, 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.