Donald D Malcolm, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

4301406986 Issued in MI

Practice address

1500 E Medical Center Drive
11TH Floor CS Mott Childrens Hospital Room 661
Ann Arbor, MI 48109-9470

Phone

(734) 764-5176

NPI assigned

Oct 4, 2006

Last updated

Dec 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Western Michigan Pediatric Cardiology Assoc

  • Pediatric Cardiology Physician
  • Grand Rapids, MI
  • NPI 1831293190
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1609961432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481099470",
            "telephone_number": "734-764-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "DONALD",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MI",
            "license": "4301406986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2821139",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasuh Mahmoud Malas, MD
• Brett Jordan Malbin, M.D.
• Chelsea Kathryn Malburg, NP
• Malcolm Sickels MD P.C. (One Circle Health)
• Allura Malcolm
• Sami Nimer Malek, MD
• Kellie Nicole Malewski, LMSW, CAADC
• Anjani Maley, MD
• Nimrat Kaur Malhi
• Malhotra Center for Plastic Surgery (Ann Arbor Plastic Surgery)

• Pediatric Cardiology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pediatric Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.