DR. MARVIN KEITH MALEK (MD) – Internal Medicine Physician, NPI 1417978149

DR. MARVIN KEITH MALEK (MD) is a healthcare provider. based in Berlin, Vermont. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 042-0010219 (VT). The NPI Number for DR. MARVIN KEITH MALEK (MD) is 1417978149

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARVIN KEITH MALEK (MD)
NPI
1417978149
Phone
(802) 225-1743
Address
130 FISHER RD
Enumeration Date
21 July 2006
Last Update Date
4 December 2014

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
5186736377
Graduation Year
1978 (48 years ago)
PAC ID
5092607903
Group Practice PAC ID
3577554138
Professional Enrollment ID
I20230717003363
Address ID
NY129322300EL75XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

384 INTERNAL MEDICINE in VT

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Provider Addresses for DR. MARVIN KEITH MALEK (MD)

  • Central Vermont Medical Center, 130, Fisher Road, Berlin, Washington County, Vermont, 05602, United States

    HOSPITALIST PROGRAM

    BERLIN, VT 056029516

    Phone: (802) 225-1743

    Fax: (802) 225-1745

    Type: Location

  • PO BOX 547

    CVMC FINANCE DEPT

    BARRE, VT 056410547

    Phone: (802) 225-1743

    Fax: (802) 371-1745

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040326000038IInternal MedicineVTTBD
I20230717003363IInternal MedicineNYTBD

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 05602)

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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: 3577554138View full group profile
NameSpecialtyState
Medical Oncology, HematologyGA
Family PracticeNY
Diagnostic RadiologyNY
Diagnostic Radiology, Interventional RadiologyNY
Diagnostic RadiologyNY
Physician AssistantNY
Diagnostic RadiologyOR
Family PracticeNY
Diagnostic RadiologyNY
Cardiovascular Disease (Cardiology)NY

Reviews

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Frequently asked questions

Does DR. MARVIN KEITH MALEK (MD) have a public NPI I can cite?
Public records show DR. MARVIN KEITH MALEK (MD) under NPI 1417978149.
Is DR. MARVIN KEITH MALEK (MD)'s NPI status active today?
Active status means DR. MARVIN KEITH MALEK (MD)'s NPI record is not deactivated in the public file.
What services align with DR. MARVIN KEITH MALEK (MD)'s listing?
DR. MARVIN KEITH MALEK (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARVIN KEITH MALEK (MD)?
DR. MARVIN KEITH MALEK (MD) is associated with Berlin, Vermont in the same public data insurers reference.
Why is information missing for DR. MARVIN KEITH MALEK (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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