Craig Hargurkirat Malli, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301508874 Issued in MI

Practice address

Sparrow Health System
1215 E Michigan Ave
Lansing, MI 48912

Phone

(517) 364-5710

NPI assigned

May 8, 2020

Reactivated

Jan 27, 2022

Sex

Male

Sole proprietor

No

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.

• Edward W. Sparrow Hospital Association

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1831139088

  MI

  Medicare reassignment NPD
• Edward W Sparrow Hospital Association

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438

  Family Medicine

  NPD
• Edward W. Sparrow Hospital Association

  • Family Medicine Physician
  • Mason, MI
  • NPI 1083668545

  Family Medicine

  NPD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2023.

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1467074773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SPARROW HEALTH SYSTEM",
            "address_2": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48912",
            "telephone_number": "517-364-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPARROW HEALTH SYSTEM",
            "address_2": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48912",
            "telephone_number": "517-364-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLI",
        "first_name": "CRAIG",
        "middle_name": "HARGURKIRAT",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "deactivation_date": "2022-01-11",
        "reactivation_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301508874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcie Maleport
• Mahnoor Aftab Malik, DDS
• Sarah Malik, MD
• Steven Malinoski
• Antoinette Mallett, LPC
• Nabeel Mallick, MD
• Mallori Mangus-Hayden
• Katelyn E Mallory
• Marc P Mallory, D.D.S., PLLC
• Raj Malosh, PRC

• All providers in Lansing, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.