Individual provider Active NPI

Timothy Michael Malcheff, DC

  • Chiropractor
  • Jonesville, MI
National Provider Identifier
1730156597
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005070 Issued in MI
Practice address
735 Olds St
Jonesville, MI 49250-9477
Phone
(517) 849-0000
Fax
(517) 849-2631
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301005070 MI Primary

Addresses

Primary practice location

735 Olds St
Jonesville, MI 49250-9477

Mailing address

735 Olds St
Jonesville, MI 49250-9477
Phone (517) 849-0000

Other identifiers 2

IdentifierTypeStateIssuer
950C06053OtherMIBCBS
1626686MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000125 MI Practitioner - Chiropractic 1355475435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsdale Chiropractic Clinic, PCGroup PAC ID 4284657933, 2 clinicians

Practice addresses (Care Compare)

735 Olds St
Jonesville, MI 49250-9477
Phone (517) 849-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsdale Chiropractic Clinic, PC Chiropractor CurrentSince Jul 13, 1990 Accepting new patients

Locations

735 Olds St
Jonesville, MI 49250
Phone (517) 849-0000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1730156597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509477",
            "telephone_number": "517-849-0000",
            "fax_number": "517-849-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 OLDS ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492509477",
            "telephone_number": "517-849-0000",
            "fax_number": "517-849-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCHEFF",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C06053",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626686",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.