Vasil Mamaladze, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4301097411 Issued in MI

Practice address

1447 N Harrison St
Saginaw, MI 48602-4727

Phone

(989) 583-0000

NPI assigned

May 18, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Froedtert South Inc. Hospital, Kenosha, WI, CCN 520021
• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmamaladze835882@direct.froedtert.com
• Direct secure messaging: vmamaladze136914@mymichiganhealth.midirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resource Anesthesiology Associates of Mi PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1568755882
  Medicare reassignment Care Compare group NPD
• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Pleasant Prairie, WI
  • NPI 1821831975
  Medicare reassignment Care Compare group NPD
• Mid Michigan Anesthesiology Group, PC

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1932131349
  Medicare reassignment NPD
• Saginaw Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1205083615
  Medicare reassignment NPD
• Racine Anesthesia Services, LLC

  • Anesthesiology Physician
  • Mount Pleasant, WI
  • NPI 1467782748
  Medicare reassignment NPD
• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1801620067
  NPD
• Laboratory Corportation of America Holdings

  • Clinical Medical Laboratory
  • Clinton, IN
  • NPI 1194140293
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  dba Family Practice Center

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation
• Froedtert South, Inc.

  • General Acute Care Hospital
  • Pleasant Prairie, WI
  • NPI 1003831132
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1073832929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 3040",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606753040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMALADZE",
        "first_name": "VASIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "4713-320",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301097411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Allen Mally, D.O.
• Ryan Patrick Maloney, DC
• Bethany E Malott, PA
• Kinde Malott
• Pamela Anita Maloy, MSW
• Chandramouli Srinivasa Mandalaparty, DO
• Victoria M Mandigo, LPTA, LMT
• Sohaib Mandoorah
• Nicole Mangin
• Aliah Kei Manglona, DO

• Anesthesiology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Anesthesiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.