JOHN DAVID MALOUF (D.O.) – Family Medicine Physician, NPI 1992097612

JOHN DAVID MALOUF (D.O.) is a healthcare provider. based in Logan, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 5101018972 (MI). The NPI Number for JOHN DAVID MALOUF (D.O.) is 1992097612

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DAVID MALOUF (D.O.)
NPI
1992097612
Phone
(435) 565-6043
Address
1219 N 400 E
Enumeration Date
12 May 2011
Last Update Date
30 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015436942
Graduation Year
2010 (16 years ago)
PAC ID
3779700042
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20160601000164
Address ID
UT840413692LA201XXPKWY402

Contacts

Main Contact
livingtreemedical.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

1,136 FAMILY PRACTICE in UT

Provider Addresses for JOHN DAVID MALOUF (D.O.)

  • 1219 N 400 E

    LOGAN, UT 843412321

    Phone: (435) 565-6043

    Fax: (435) 220-2030

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (435) 695-2727

    Type: Mailing

  • 1050 S 500 W

    BRIGHAM CITY, UT 843024715

    Phone: (435) 695-2727

    Type: Location

  • 2855 N 920 E

    NORTH LOGAN, UT 843415806

    Phone: (435) 557-0354

    Type: Mailing

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 $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: PFIZER INC. ($27).

Total Amount

$100

General + Research + Ownership

Payments

5

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2016-06-01

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
I20160601000164IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes6032$0
View full utilization report →

Insurance plans in this area (ZIP 84341)

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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: 1850209420View 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 number should I use to identify JOHN DAVID MALOUF (D.O.) for billing?
Administrative and clinical systems typically use NPI 1992097612 for JOHN DAVID MALOUF (D.O.).
Is JOHN DAVID MALOUF (D.O.) currently accepting referrals based on NPI status?
Registry metadata lists JOHN DAVID MALOUF (D.O.) as active.
Which specialty label fits JOHN DAVID MALOUF (D.O.)?
NPPES ties JOHN DAVID MALOUF (D.O.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JOHN DAVID MALOUF (D.O.)?
JOHN DAVID MALOUF (D.O.) is associated with Logan, Utah in the same public data insurers reference.
Why is information missing for JOHN DAVID MALOUF (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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