SAMANTHA L. MALLORY (MD) – Pediatric Hematology & Oncology Physician, NPI 1336375369

SAMANTHA L. MALLORY (MD) is a healthcare provider. based in Des moines, Iowa. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 27050 (OK). The NPI Number for SAMANTHA L. MALLORY (MD) is 1336375369

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA L. MALLORY (MD)
NPI
1336375369
Phone
(515) 241-8912
Address
1215 PLEASANT ST STE 514
Enumeration Date
4 June 2009
Last Update Date
12 July 2016

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5152413560
Graduation Year
2012 (14 years ago)
PAC ID
6204092281
Group Practice PAC ID
1052229275
Professional Enrollment ID
I20160628002754
Address ID
IA503091416DE1215XSTXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

268 PEDIATRIC MEDICINE in IA

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Provider Addresses for SAMANTHA L. MALLORY (MD)

  • Pleasant Street, Downtown, Des Moines, Polk County, Iowa, 50309, United States

    DES MOINES, IA 503091418

    Phone: (515) 241-8912

    Fax: (515) 241-8988

    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 5 Open Payments records for all available years, with a total value of $328.

Total Amount is formed as General ($328) + Research ($0) + Ownership ($0) = $328.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($258).

Total Amount

$328

General + Research + Ownership

Payments

5

Total payment records

General Amount

$328

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

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: 2016-06-28

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
I20160628002754IPediatric MedicineIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50309)

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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: 1052229275View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineIA
Emergency MedicineIA
-IA
-IA
Cardiovascular Disease (Cardiology), Internal MedicineIA
-IA
Nurse PractitionerIA
-IA
-IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA L. MALLORY (MD)?
The registry entry for SAMANTHA L. MALLORY (MD) shows NPI 1336375369.
Quick check: is SAMANTHA L. MALLORY (MD) active?
Public NPPES data shows SAMANTHA L. MALLORY (MD) with an active NPI status right now.
Which specialty label fits SAMANTHA L. MALLORY (MD)?
NPPES ties SAMANTHA L. MALLORY (MD) to Pediatric Hematology & Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMANTHA L. MALLORY (MD)?
SAMANTHA L. MALLORY (MD) is associated with Des Moines, Iowa in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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