Active NPI
Anita Monique Malone, MD
- Obstetrics & Gynecology Physician
- Northville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301104919
- Practice address
- 39901 Traditions Dr
Suite 240
Northville, MI 48169-9493 - Phone
- (248) 305-4400
- NPI assigned
- Jun 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11015588A | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301104919 | MI | Primary |
Addresses
Primary practice location
39901 Traditions Dr
Suite 240
Northville, MI 48169-9493
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140805000748 | MI | Practitioner - Obstetrics/Gynecology | 6608013289 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Michigan Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regents of the University of Michigan
Practice addresses (Care Compare)
300 W Michigan Ave
Ypsilanti, MI 48197-5443
Phone (734) 539-5000
39901 Traditions Dr
Northville, MI 48168-9493
Phone (248) 305-4400
4260 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 647-5715
4270 Plymouth Rd
Ann Arbor, MI 48109-2700
Phone (734) 936-4000
8001 Challis Rd
Brighton, MI 48116-7446
Phone (810) 227-9510
Hospital & facility affiliations
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Past | Accepting new patients | |
| Regents of the University of Michigan | Past | Accepting new patients |
Interoperability endpoints
- amalone509387@direct.med.umich.edu
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- Home Health Agency
- Ann Arbor, MI
- NPI 1063465607
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1609197797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39901 TRADITIONS DR",
"address_2": "SUITE 240",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481699493",
"telephone_number": "248-305-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "ANITA",
"middle_name": "MONIQUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-12",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "11015588A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301104919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.