Organization Active NPI

Mala Bathija MD, PLLC

  • Allergy & Immunology Physician
  • Novi, MI
National Provider Identifier
1356511604
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4301072526 Issued in MI
Legal business name
MALA BATHIJA MD, PLLC
Practice address
44000 W 12 Mile Rd
Ste 212
Novi, MI 48377-2644
Phone
(248) 347-8285
Fax
(248) 347-8215
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Malathi Bathija, MDNPI 1124085436
Title
MD
Phone
(248) 347-8285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 4301072526 MI Primary

Addresses

Primary practice location

44000 W 12 Mile Rd
Ste 212
Novi, MI 48377-2644

Mailing address

44000 W 12 Mile Rd
Ste 212
Novi, MI 48377-2644
Phone (248) 347-8285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051209000605 MI Part B Supplier - Clinic/Group Practice 5395766059 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI; Southgate, MI

National Provider Directory

National Provider Directory

Locations

41935 W Twelve Mile Rd
Ste 206
Novi, MI 48377
Phone (248) 347-8285

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1356511604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "STE 212",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772644",
            "telephone_number": "248-347-8285",
            "fax_number": "248-347-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44000 W 12 MILE RD",
            "address_2": "STE 212",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772644",
            "telephone_number": "248-347-8285",
            "fax_number": "248-347-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALA BATHIJA MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "BATHIJA",
        "authorized_official_first_name": "MALATHI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "248-347-8285",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "4301072526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.