DR. MICHAELA RUTH MALLON (MD) – Family Medicine Physician, NPI 1699881359

DR. MICHAELA RUTH MALLON (MD) is a healthcare provider. based in Roeland park, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 04-28114 (KS). The NPI Number for DR. MICHAELA RUTH MALLON (MD) is 1699881359

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAELA RUTH MALLON (MD)
NPI
1699881359
Phone
(913) 432-2080
Address
5675 ROE BLVD STE 100
Enumeration Date
22 August 2006
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9132993700
Graduation Year
1993 (33 years ago)
PAC ID
1052416310
Group Practice PAC ID
0042286106
Professional Enrollment ID
I20230104000597
Address ID
KS661094566KA2040XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,425 FAMILY PRACTICE in KS

Provider Addresses for DR. MICHAELA RUTH MALLON (MD)

  • 5675 ROE BLVD STE 100

    ROELAND PARK, KS 662052538

    Phone: (913) 432-2080

    Type: Mailing

  • 9300 MEADOW VIEW DR

    SHAWNEE, KS 662277288

    Phone: (913) 601-4500

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328861295

    Phone: (813) 636-2040

    Fax: (813) 636-2020

    Type: Mailing

  • 3550, West Waters Avenue, Egypt Lake-Leto, Hillsborough County, Florida, 33614, United States

    TAMPA, FL 336142716

    Phone: (813) 886-8899

    Fax: (813) 886-4964

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $751.

Total Amount is formed as General ($751) + Research ($0) + Ownership ($0) = $751.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($246).

Total Amount

$751

General + Research + Ownership

Payments

42

Total payment records

General Amount

$751

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

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: 2023-01-04

PECOS data refreshed: 2026-06-15

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
I20230104000597IFamily PracticeKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes308279$0
99214Established patient office or other outpatient visit, 30-39 minutes7470$0
81002Urinalysis, manual test6756$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2626$0
99212Established patient office or other outpatient visit, 10-19 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 66205)

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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: 0042286106View full group profile
NameSpecialtyState
-KS
Nurse PractitionerMO
Family PracticeKS
Family PracticeKS
Internal MedicineKS
Internal MedicineKS
Nurse PractitionerKS
-MO
Family Practice, General PracticeKS
Physician AssistantKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MICHAELA RUTH MALLON (MD)?
DR. MICHAELA RUTH MALLON (MD) — NPI 1699881359 — is the standard way to identify this listing.
Does CMS list DR. MICHAELA RUTH MALLON (MD) as active?
Yes — DR. MICHAELA RUTH MALLON (MD) is active in the NPI listing used on this page.
What is DR. MICHAELA RUTH MALLON (MD) best known for clinically?
Directory data describes DR. MICHAELA RUTH MALLON (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MICHAELA RUTH MALLON (MD) on a map?
Expect Roeland Park, Kansas as a primary anchor for DR. MICHAELA RUTH MALLON (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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