Michael S. Malian, M.D.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

4301051932 Issued in MI

Practice address

18101 Oakwood Boulevard
Beaumont Hospital, Dearborn Trauma SVCS
Dearborn, MI 48123

Phone

(313) 982-5440

Fax

(313) 982-5445

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

Wayne State University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmalian1244833@epic00.shdirect.org

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.

• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group Hospital -Based Services

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1427567858
  Medicare reassignment NPD
• Oakwood Ambulatory LLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1003829441

  Surgery

  Medicare reassignment NPD
• Oakwood Ambulatory, LLC

  • Podiatrist
  • Westland, MI
  • NPI 1013157361
  NPD
• Ascension Borgess Hospital

  • Community/Retail Pharmacy
  • Portage, MI
  • NPI 1174677611
  NPD (past)
• Ascension Borgess Hospital

  • Rehabilitation Hospital Unit
  • Kalamazoo, MI
  • NPI 1285766196
  NPD (past)
• Ascension Borgess Hospital

  • Ambulance
  • Plainwell, MI
  • NPI 1336282151
  NPD (past)
• Ascension Borgess Hospital

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  NPD (past)
• Ascension Borgess Hospital

  • Emergency Medicine Physician
  • Three Rivers, MI
  • NPI 1629495320
  NPD (past)
• Ascension Borgess Hospital

  • Orthopaedic Surgery Physician
  • Kalamazoo, MI
  • NPI 1780679753
  NPD (past)
• Borgess Medical Center

  • Psychologist
  • Kalamazoo, MI
  • NPI 1194907071
  NPD (past)
• Borgess Medical Center

  • Psychiatry Physician
  • Kalamazoo, MI
  • NPI 1356523229
  NPD (past)

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

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1215090840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 LUNDY PKWY",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BOULEVARD",
            "address_2": "BEAUMONT HOSPITAL, DEARBORN TRAUMA SVCS",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48123",
            "telephone_number": "313-982-5440",
            "fax_number": "313-982-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIAN",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301051932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "MM051932",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472452810",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "MM051932",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmalian438211@diect.beaumont.edu",
            "affiliation": "N",
            "address_1": "18101 Oakwood Boulevard",
            "address_2": "Beaumont Hospital, Dearborn Trauma Svcs",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ahmed Makled
• Lyla Makled, DNP, FNP-BC
• Zeinab Makled
• Stephanie Maldonado
• Jouhaina Maleh, M.D.
• Suleman Malik
• Hala Mallah, LMSW-C
• Srivenkata Sanjeev Mallareddy, PT
• Abdullah Mallisho, M.D.
• Sandhya Mallya, MA, LLP

• Surgical Critical Care Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Surgical Critical Care Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.