MALAMA MEDICAL
NPI 1659929487
Nurse Practitioner - Psychiatric/Mental Health in Baltimore, MD

Active since August 26, 2019
4604 YORK RD, BALTIMORE, MD 21212(443) 802-5130 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2021, Jan 31, 2021, Aug 26, 2019 (3 updates tracked since 2019).

About Malama Medical NPPES

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

MALAMA MEDICAL (NPI 1659929487) is a healthcare organization registered as a psychiatric/mental health in Baltimore, Maryland and active in the NPI registry since August 2019. The organization lists Kimela Jean Ferguson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1659929487
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMALAMA MEDICAL
Location Address4604 YORK RDBaltimore, MD 21212-4726
Mailing Address34 York CtBaltimore, MD 21218-1248 · (443) 802-5130
Organization SubpartNo
Authorized OfficialKimela Jean FergusonChief Executive Officer · (443) 802-5130
Enumeration DateAugust 26, 2019
Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1659929487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4604 YORK RD, Baltimore, MD 21212

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malama Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Malama Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1336637602
4604 YORK RD
Baltimore, MD 21212
(443) 802-5130
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518621200
3030 GREENMOUNT AVE STE 300
Baltimore, MD 21218
(410) 452-5234
✔ PECOS✔ Accepts Medicare1.3 mi
Clinical Social Worker
NPI 1770249435
4715 LEEDS AVE
Baltimore, MD 21227
(443) 791-7148
✔ PECOS7.4 mi
Nurse Practitioner
NPI 1619768728
588 BELLERIVE DR STE 1D
Annapolis, MD 21409
(443) 949-5322
✔ PECOS✔ Accepts Medicare23 mi

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

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 Malama Medical's NPI number?

The NPI number for Malama Medical is 1659929487. It was assigned to this organization in the NPPES registry on August 26, 2019.

Where is Malama Medical located?

Malama Medical is located at 4604 York Rd, Baltimore, MD 21212. The listed phone number is (443) 802-5130.

What is Malama Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Malama Medical enrolled in Medicare?

Yes. Malama Medical is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Malama Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Malama Medical. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Malama Medical was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.