MR. ROMAN B MALLEY (MD) – Internal Medicine Physician, NPI 1083655443

MR. ROMAN B MALLEY (MD) is a healthcare provider. based in Fresno, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A62423 (CA). The NPI Number for MR. ROMAN B MALLEY (MD) is 1083655443

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROMAN B MALLEY (MD)
NPI
1083655443
Phone
(559) 271-6365
Address
4770 W HERNDON AVE
Enumeration Date
9 June 2006
Last Update Date
6 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5592754785
Graduation Year
1981 (45 years ago)
PAC ID
4981777588
Group Practice PAC ID
9032016068
Professional Enrollment ID
I20080715000520
Address ID
CA937061031FR925XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for MR. ROMAN B MALLEY (MD)

  • Saint Agnes Urgent Care, 4770, West Herndon Avenue, Sierra Sky Park, Fresno, Fresno County, California, 93722, United States

    FRESNO, CA 937228402

    Phone: (559) 271-6365

    Fax: (559) 271-6326

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $4,836.

Total Amount is formed as General ($4,836) + Research ($0) + Ownership ($0) = $4,836.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($748).

Total Amount

$4,836

General + Research + Ownership

Payments

160

Total payment records

General Amount

$4,836

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080715000520IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,262193$0
99214Established patient office or other outpatient visit, 30-39 minutes561301$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes31911$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month20846$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes136124$0
View full utilization report →

Insurance plans in this area (ZIP 93722)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032016068View full group profile
NameSpecialtyState
H O S P I T A L I S TCA
Nurse PractitionerCA
-CA
Nurse PractitionerKS
Nurse PractitionerCA
Hospitalist, Critical Care (Intensivists), Internal MedicineCA
Hospitalist, Internal MedicineNY
Hospitalist, Internal MedicineCA
-CA
Internal MedicineCA

Reviews

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Frequently asked questions

How is MR. ROMAN B MALLEY (MD) identified in CMS data?
CMS-hosted NPPES data lists MR. ROMAN B MALLEY (MD) with NPI 1083655443.
Is MR. ROMAN B MALLEY (MD) listed as active for patients and plans?
The listing shows MR. ROMAN B MALLEY (MD) as active in the NPI system.
What is MR. ROMAN B MALLEY (MD)'s specialty?
The listing groups MR. ROMAN B MALLEY (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MR. ROMAN B MALLEY (MD) on a map?
Expect Fresno, California as a primary anchor for MR. ROMAN B MALLEY (MD) unless the record lists multiple sites.
Is the information about MR. ROMAN B MALLEY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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