Individual provider Active NPI

Sachit Malde, M.D.

  • Diagnostic Radiology Physician
  • Southfield, MI
National Provider Identifier
1407067531
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A107249 Issued in CA
Practice address
22250 Providence Drive
Suite 207
Southfield, MI 48075-6210
Phone
(248) 569-4353
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A107249 CA Primary

Addresses

Primary practice location

22250 Providence Drive
Suite 207
Southfield, MI 48075-6210

Mailing address

22250 Providence Dr
Suite 207
Southfield, MI 48075-4825
Phone (248) 569-4353

Other identifiers 1

IdentifierTypeStateIssuer
00A1072490MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100806000776 MI Practitioner - Diagnostic Radiology 8224182100 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southfield Radiology Associates, PLLCGroup PAC ID 6800877481, 38 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 844-4541

1225 S Latson Rd
Howell, MI 48843-7643
Phone (866) 501-3627

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

28455 Haggerty Rd
Suite 100
Novi, MI 48377-2982
Phone (248) 553-2200

30055 Northwestern Hwy
Providence Farmington
Farmingtn HLS, MI 48334-3230
Phone (248) 865-4000

37595 7 Mile Rd
Livonia, MI 48152-1487
Phone (734) 462-2300

4700 Schaefer Rd
Dearborn, MI 48126-3655
Phone (313) 581-2600

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Jan 19, 2019 Accepting new patients
Art of Radiology Imaging Associates, PLLC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 26, 2010 Accepting new patients
Southfield Radiology Associates, PLLC Diagnostic Radiology Current Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Sep 15, 2014 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Sep 15, 2014 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 207
Southfield, MI 48075
Phone (248) 552-0360

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

Interoperability endpoints

  • Direct secure messaging: smalde1139934@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1407067531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DRIVE",
            "address_2": "SUITE 207",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756210",
            "telephone_number": "248-569-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDE",
        "first_name": "SACHIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A107249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1072490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.