Jakub B Malarz, MD
Individual provider Active NPI Family Medicine Physician · Hemlock, MI
NPI 1386731396 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1386731396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 4301088508 (MI)
- Practice address
- 16440 Gratiot Rd
Hemlock, MI 48626-8655 - Phone
- (989) 583-0680
- Fax
- (989) 839-8817
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Center, Inc.
Practice addresses (Care Compare)
16440 Gratiot Rd
Hemlock, MI 48626-8655
Phone (989) 583-0660
Hospital & facility affiliations
- Covenant at Home
- Covenant Medical Center
- Mymichigan Medical Center Midland
- Mymichigan Medical Center Gladwin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090827000505 | MI | Practitioner - Family Practice | 2961557921 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088508 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Family Medicine | Current |
Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
Interoperability endpoints
- jmalarz160972@direct.covenanthealthcare.com
- jmalarz6699@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301088508 | MI | Yes |
Addresses
Primary practice location
16440 Gratiot Rd
Hemlock, MI 48626-8655
Mailing address
1447 N Harrison St
Saginaw, MI 48602-4727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301088508 | Other | MI | STATE LICENSE |
Other providers in Hemlock, MI
- Nimra Jawed
- Amanda Amy Keys
- Sambasiva Rao Korrapati
- Kulhanek Counseling & Wellbeing PLLC
- Anthony P Laframboise
- Nicholas Jared McKenzie
- Medical Care Innovation, P.C.
- Brooke Mentel
- Dawn Miller
- Dennis Carl Oconnor
All providers in Hemlock, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.