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1396853610

NPI Code Detail

MEDICARE: DAVID C MALFESE MD

MEDICARE: DAVID C MALFESE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	73718	MN
2	207Q00000X	Family Medicine Physician	41373	WI
3	207Q00000X	Family Medicine Physician	DR0053194	CO
4	207Q00000X	Family Medicine Physician	036162886	IL
5	207Q00000X	Family Medicine Physician	16898	AR
6	207Q00000X	Family Medicine Physician	51764	IA
7	207Q00000X	Family Medicine Physician	U6524	TX
8	207Q00000X	Family Medicine Physician	41786	OK
9	207Q00000X	Family Medicine Physician	2023036758	MO
10	207Q00000X	Family Medicine Physician	01091404A	IN
11	207Q00000X	Family Medicine Physician	31938	MS
12	207Q00000X	Family Medicine Physician	35149587	OH
13	207Q00000X	Family Medicine Physician	C192291	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396853610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C MALFESE MD

Provider Business Mailing Address
First Line	:	6461 W WARNER AVE APT 301
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60634-6206
Country	:	US
Telephone Number	:	720-737-6497
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 W MARKET ST STE 2900
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46204-2964
Country	:	US
Telephone Number	:	866-434-3255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	09/25/2025

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Directions to “ DAVID C MALFESE MD” Practice Location

Language	Start Address	Practice Location

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