Active NPI
Eranio U Malto, MD
- Anesthesiology Physician
- Flint, MI
National Provider Identifier
1134278104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301033063
- Practice address
- 401 S Ballenger Hwy
Flint, MI 48532 - Phone
- (810) 720-1730
- Fax
- (810) 720-1736
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301033063 | MI | Primary |
Addresses
Primary practice location
401 S Ballenger Hwy
Flint, MI 48532
Mailing address
1051 Professional Drive
Flint, MI 48532
Phone (810) 720-1730
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050B56043 | Other | BLUE CROSSBLUE SHIELD | |
| 1172870001 | Other | THE WELLNESS PLAN | |
| 1364608 | Medicaid | MI | |
| EM033063 | Other | HEALTH ALLIANCE PLAN | |
| 210425 | Other | MCLAREN HEALTH ADVANTAG | |
| 30946 | Other | COMMUNITY CHOICE OF MI | |
| AN250004 | Other | M CARE INC | |
| 0996930 | Other | HEALTH PLUS OF MICHIGAN | |
| 100110 | Other | GREAT LAKES HEALTH PLAN | |
| 4647093 | Other | AETNA HEALTH CARE | |
| 567567 | Other | SELECT CARE | |
| EM033063 | Other | STATE LICENSE NUMBER | |
| 210425 | Other | MCLAREN HEALTH PLAN | |
| M001301 | Other | TRICARE REGION 2 AND 5 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology Associates of Michigan, PC | Anesthesiology | Past | Accepting new patients |
| Michigan Medical Anesthesia, .P,C, | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Grand Blanc, MI
- NPI 1235181223
-
- Anesthesiology Physician
- Flint, MI
- NPI 1184775819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134278104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 PROFESSIONAL DRIVE",
"city": "FLINT",
"state": "MI",
"postal_code": "48532",
"telephone_number": "810-720-1730",
"fax_number": "810-720-1736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "48532",
"telephone_number": "810-720-1730",
"fax_number": "810-720-1736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALTO",
"first_name": "ERANIO",
"middle_name": "U",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301033063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD",
"identifier": "050B56043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE WELLNESS PLAN",
"identifier": "1172870001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1364608",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "EM033063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAG",
"identifier": "210425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE OF MI",
"identifier": "30946",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M CARE INC",
"identifier": "AN250004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MICHIGAN",
"identifier": "0996930",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "100110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH CARE",
"identifier": "4647093",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT CARE",
"identifier": "567567",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "EM033063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "210425",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE REGION 2 AND 5",
"identifier": "M001301",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.