DR. ALEXANDER DAVID MALLOY (D.O.) – Trauma Surgery Physician, NPI 1174886824

DR. ALEXANDER DAVID MALLOY (D.O.) is a healthcare provider. based in Jbsa ft sam houston, Texas. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. OP61134169 (WA). The NPI Number for DR. ALEXANDER DAVID MALLOY (D.O.) is 1174886824

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDER DAVID MALLOY (D.O.)
NPI
1174886824
Phone
Not provided
Address
3551 ROGER BROOKE DR
Enumeration Date
18 June 2012
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2067313000
Graduation Year
2012 (14 years ago)
PAC ID
2668805680
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20210510001245
Address ID
WA981042420SE325XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:13State licenses:3Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for DR. ALEXANDER DAVID MALLOY (D.O.)

  • 3551 ROGER BROOKE DR

    JBSA FT SAM HOUSTON, TX 782344504

    Phone:

    Type: Mailing

  • 325 9TH AVE

    SEATTLE, WA 981042420

    Phone: (206) 520-5000

    Type: Location

  • 1321 Colby Ave

    Everett, WA 982011665

    Phone: (425) 261-2000

    Type: Location

  • 999 N Curtis Rd Ste 415

    Boise, ID 837061334

    Phone: (208) 302-2600

    Fax: (208) 302-2625

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($101).

Total Amount

$101

General + Research + Ownership

Payments

1

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

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: 2025-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210510001245IGeneral SurgeryWATBD
I20240206001403ICritical Care (Intensivists)IDTBD
I20250422003368IGeneral SurgeryCOTBD

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 78234)

Loading plans...

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: 0446162697View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for DR. ALEXANDER DAVID MALLOY (D.O.)?
DR. ALEXANDER DAVID MALLOY (D.O.) — NPI 1174886824 — is the standard way to identify this listing.
Does CMS list DR. ALEXANDER DAVID MALLOY (D.O.) as active?
Yes — DR. ALEXANDER DAVID MALLOY (D.O.) is active in the NPI listing used on this page.
What taxonomy line describes DR. ALEXANDER DAVID MALLOY (D.O.)?
For research purposes, treat DR. ALEXANDER DAVID MALLOY (D.O.) as Trauma Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ALEXANDER DAVID MALLOY (D.O.) list a practice location?
Patients near Jbsa Ft Sam Houston, Texas may find DR. ALEXANDER DAVID MALLOY (D.O.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

24840 BREEZE OAK
NPI: 1942437934

MEREDITH ELAINE SOMMERVILLE (M.D.)

Trauma Surgery Physician
3551 ROGER BROOKE DR
NPI: 1396004719
1924 Pine St Ste 501
NPI: 1619312766
3551 ROGER BROOKE DR
NPI: 1568882439