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Dr. Edgardo A Malacaman , MD

Pediatrics • Canton, OH

Active NPI 1588779078 Individual Practitioner Male Practitioner
Practice location in NPPES

128 Wertz Ave Nw Ste A
Canton, OH 447084196

Call 3304939903 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

128 Wertz Ave Nw Ste A

Canton, OH 447084196

Telephone 3304939903
Fax 3304939956
Organization at the Same NPPES Address or Phone
Richard A Raabe Dpm Inc Facility NPI 1982850525

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $245.20 across 3 records.

By nature of payment

  • Food and Beverage: $245.20 across 3 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $245.20 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

23 active clinicians are listed under Pediatrics with a practice address in Canton, OH (2,972 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 23 clinicians have the CMS telehealth indicator.

0% of these 23 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $245.20.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
PENMENVY General $121.83
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
PENMENVY General $107.53
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $15.84

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OH 35034195

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0209429 (OH)
Medicaid ID
1295989002 (OH)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Marna Revlock , APRN

Nurse Practitioner - Adult Health

NPI 1407512304

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
📍
Updated Practice Location May 07, 2025

Registered at 128 WERTZ AVE NW STE A, CANTON, OH 447084196 (Tel: 3304939903)

📍
Updated Business Mailing Address May 07, 2025

Registered at 128 WERTZ AVE NW STE A, CANTON, OH 447084196 (Tel: 3304939903)

📍
Updated Practice Location August 29, 2019

Registered at 3120 PARKWAY ST. NW STE C., CANTON, OH 44708 (Tel: 3304939903)

📍
Updated Business Mailing Address August 29, 2019

Registered at 3120 PARKWAY ST. NW STE C., CANTON, OH 44708 (Tel: 3304939903)

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 08, 2007

Registered at 4900 FRANK RD NW, NORTH CANTON, OH 44720 (Tel: 3304949797)

📍
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 80690, CANTON, OH 44708 (Tel: 3308335530)

👤
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as EDGARDO MALACAMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (license number reported to NPPES: OH 35034195)

🟢
Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1588779078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: August 04, 2025
Sole Proprietor: No

Mailing Address

128 Wertz Ave Nw Ste A

Canton, OH 447084196

Phone: 3304939903

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.