RICHARD K MALONE MD
NPI 1881691814
Pediatrics in Bloomington, IN
About Richard K Malone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD K MALONE MD (NPI 1881691814) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (01036275) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Richard K Malone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Richard Malone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Richard Malone's NPI number?
The NPI number for Richard Malone is 1881691814. It was assigned to this individual provider in the NPPES registry on July 5, 2005.
Where is Richard Malone located?
Richard Malone practices at 651 S Clarizz Blvd, Bloomington, IN 47401. The listed phone number is (812) 333-2304.
What is Richard Malone's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Richard Malone enrolled in Medicare?
Yes. Richard Malone is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Richard Malone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Malone reassigns Medicare benefits to 2 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Richard Malone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Malone accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Richard Malone 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 Richard Malone was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Richard K Malone, MD · NPI 1881691814
Pediatrics physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since July 5, 2005.
## Identity
- **NPI:** 1881691814 (Entity type: Individual)
- **Enumerated:** July 5, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 01036275 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 651 S CLARIZZ BLVD, Bloomington, IN 47401-5523
- **Phone:** (812) 333-2304 · **Fax:** (812) 330-2306
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2024
- **Other identifiers:** Medicaid 100068670 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1881691814) · Data from the CMS NPPES public registry.