JUSTIN MALIN MD
NPI 1639922420
General Practice in Blacksburg, VA

Active since April 10, 2024PECOS Enrolled
3700 S MAIN ST, BLACKSBURG, VA 24060(281) 853-5483 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Apr 11, 2024 (2 updates tracked since 2024).

About Justin Malin Md NPPES

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

JUSTIN MALIN MD (NPI 1639922420) is an individual general practice provider in Blacksburg, Virginia, licensed in Texas (V9933) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639922420
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJUSTIN MALINCredential: MD
Location Address3700 S MAIN STBlacksburg, VA 24060-7017
Mailing Address3700 S Main StBlacksburg, VA 24060-7017 · (281) 853-5483
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 10, 2024
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1639922420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in TX · V9933✔ Licensed in VA · 0101286724
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0116039479 (VA)
3700 S MAIN ST, Blacksburg, VA 24060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Malin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911446612
PECOS Enrollment IDI20260202000874
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 Reassignments

2

Medicare enrollment records show Justin Malin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group

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

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.

Emergency Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Student in an Organized Health Care Education/Training Program
3700 S MAIN ST
BLACKSBURG, VA 24060
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060
Family Medicine
3700 S MAIN ST, SUITE A
BLACKSBURG, VA 24060
Internal Medicine
3700 S MAIN ST
BLACKSBURG, VA 24060

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 Justin Malin's NPI number?

The NPI number for Justin Malin is 1639922420. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Justin Malin located?

Justin Malin practices at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (281) 853-5483.

What is Justin Malin's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Justin Malin enrolled in Medicare?

Yes. Justin Malin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Malin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Malin reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Justin Malin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Malin was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.