PAUL MALINDA MD
NPI 1134172851
Emergency Medicine in Burlington, NC
NPI Status: Active since May 17, 2006
Contact Information
1240 HUFFMAN MILL RD
BURLINGTON, NC
ZIP 27215
Phone: (336) 538-7050
Fax: (336) 538-7041
- Individual
- Male
- Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About PAUL MALINDA
This page provides the complete NPI Profile along with additional information for Paul Malinda, a provider established in Burlington, North Carolina with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1134172851 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number 96-00177 (NC). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1134172851
- Provider Name
- PAUL MALINDA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1240 HUFFMAN MILL RD BURLINGTON, NC 27215
- Location Phone
- (336) 538-7050
- Location Fax
- (336) 538-7041
- Mailing Address
- PO BOX 602598 CHARLOTTE, NC 28260
- Mailing Phone
- (336) 716-2255
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-17-2006
- Last Update Date
- 02-01-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 96-00177
- License State
- NC
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| NC8275A | MEDICARE PIN (08) | NC | |
| 895380M | MEDICAID (05) | NC | |
| F05877 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Paul Malinda is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 13 times for 13 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 93 times for 92 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 81 times for 77 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27215 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 7 | 2 | 8 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 7 | 4 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 7 + 4 + 8 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1134172851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437129749 | RIMA VAICKUTE MD Individual | Internal Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (843) 237-3378 |
| 1770554834 | SONA A PATEL MD Individual | Internal Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (843) 237-3378 |
| 1902869068 | JACK G WALL MD Individual | Radiology (Diagnostic Radiology) | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7000 |
| 1902869969 | GEOFFREY H BROWNE MD Individual | Radiology (Diagnostic Radiology) | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7000 |
| 1326004219 | PRIMEDOC OF BURLINGTON PA Organization | Internal Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (843) 237-3378 |
| 1134159072 | ARMC PHYSICIAN CARE INC. Organization | Surgery | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-8400 |
| 1518989946 | ALAMANCE REGIONAL MEDICAL CENTER, INC. Organization | Psychiatric Unit | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7000 |
| 1477653608 | DR. EUGENE WILSON GRINER JR. MD Individual | Emergency Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7050 |
| 1629148531 | MELISSA BARNES DE LA ROZA MD Individual | Emergency Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7411 |
| 1780728238 | MARY SUSAN OLNEY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1240 HUFFMAN MILL RD ALAMANCE REGIONAL MEDICAL CENTER LABORATORY BURLINGTON, NC 27215 (336) 538-7831 |
| 1578767687 | WAKE FOREST UNIVERSITY HEALTH SCIENCES Organization | Durable Medical Equipment & Medical Supplies | 1240 HUFFMAN MILL RD SUITE 120 BURLINGTON, NC 27215 (336) 538-7000 |
| 1114110400 | DR. AMIR A. FIROZVI MD Individual | Internal Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7677 |
| 1063724144 | ARMC PHYSICIANS CARE INC Organization | Internal Medicine (Critical Care Medicine) | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (919) 538-7000 |
| 1376563924 | JENISE VICTORIA BACON MENSHEW PA-C Individual | Physician Assistant | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7060 |
| 1184771412 | MS. HEATHER R RATCLIFFE PA-C Individual | Physician Assistant (Medical) | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7411 |
| 1336135359 | DR. ROBB JAY WIEGAND M.D. Individual | Emergency Medicine | 1240 HUFFMAN MILL RD ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON, NC 27215 (336) 538-7000 |
| 1528049517 | DEVAINDER GOLI MD Individual | Emergency Medicine | 1240 HUFFMAN MILL RD ALAMANCE REGIONAL MEDICAL CENTER BURLINGTON, NC 27215 (336) 538-7050 |
| 1497718274 | WILLIAM P ROEMER P.A.-C Individual | Physician Assistant (Medical) | 1240 HUFFMAN MILL RD PHYSICIAN CARE BURLINGTON, NC 27215 (336) 570-0344 |
| 1831295583 | DR. DAVID KAMINSKI MD Individual | Emergency Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7050 |
| 1184708125 | DR. JADE JYE SUNG MD Individual | Emergency Medicine | 1240 HUFFMAN MILL RD BURLINGTON, NC 27215 (336) 538-7050 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134172851, enumerated in the NPI registry as an "individual" on May 17, 2006
The provider is located at 1240 Huffman Mill Rd Burlington, Nc 27215 and the phone number is (336) 538-7050
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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