Paul Mallamo, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

5901001813 Issued in MI

Practice address

52526 Ford LN
Chesterfield, MI 48047-3514

Phone

(586) 598-0455

NPI assigned

Mar 20, 2007

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul Mallamo D.P.M. P C

  • Podiatrist
  • Chesterfield, MI
  • NPI 1912125634
  Medicare reassignment NPD Authorized official
• Meer Deen DPM PC

  • Podiatrist
  • Southfield, MI
  • NPI 1518173137
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1548385156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52526 FORD LN",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473514",
            "telephone_number": "586-598-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52526 FORD LN",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473514",
            "telephone_number": "586-598-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLAMO",
        "first_name": "PAUL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5901001813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480030776",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4253362",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pratyush Mahapatra
• Kodi Maier
• Louis D Maiorano, D.D.S.
• Michelle Malaj, NP
• Sherry Ann Malinczak, FNP-BC
• Lorelai Mallia
• Katrina Mallory
• Jordan Malos
• Katherine R Manettas, BCBA
• Amanda Rashella Mangas, MOT, OTR

• Primary Podiatric Medicine Podiatrist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Primary Podiatric Medicine Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.