NPIMap

Individual provider Active NPI

Malorie McVittie, M.D.

  • Internal Medicine Physician
  • Deckerville, MI
National Provider Identifier
1902256050
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301110248 Issued in MI
Practice address
2433 Black River St
Deckerville, MI 48427-9425
Phone
(810) 376-2885
Fax
(810) 376-8301
NPI assigned
Jun 20, 2016
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301110248 MI Primary
Pediatrics Physician 208000000X 4301110248 MI

Addresses

Primary practice location

2433 Black River St
Deckerville, MI 48427-9425

Mailing address

PO Box 126
Deckerville, MI 48427-0126
Phone (810) 376-2835

Other practice location 1

2750 Main St Ste 6
Marlette, MI 48453-1100
Phone (810) 376-2885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813001886 MI Practitioner - Internal Medicine 9234420902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deckerville Community Hospital IncGroup PAC ID 2163508821, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

3559 Pine St
Deckerville, MI 48427-7703
Phone (810) 376-2885

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301110248MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc CurrentSince Sep 1, 2020 Accepting new patients
Deckerville Community Hospital, Inc. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Marlette Regional Hospital CurrentSince Sep 1, 2020 Accepting new patients
Deckerville Community Hospital Inc Current Accepting new patients
Marlette Regional Hospital CurrentSince Sep 1, 2020 Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Oct 15, 2021 Accepting new patients
McLaren Port Huron PastSince Sep 23, 2026 Accepting new patients

Locations

2433 Black River St
Deckerville, MI 48427
Phone (810) 376-2835

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2750 Main St
Marlette, MI 48453
Phone (989) 635-4000

2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050

2750 Main St
Ste 6
Marlette, MI 48453
Phone (810) 376-2885

Interoperability endpoints

  • Direct secure messaging: mmcvittie169784@direct.covenanthealthcare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1902256050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484270126",
            "telephone_number": "810-376-2835",
            "fax_number": "810-376-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 BLACK RIVER ST",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484279425",
            "telephone_number": "810-376-2885",
            "fax_number": "810-376-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2750 Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Marlette",
            "state": "MI",
            "postal_code": "484531100",
            "country_code": "US",
            "telephone_number": "810-376-2885",
            "fax_number": "810-376-8301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCVITTIE",
        "first_name": "MALORIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2022-12-01",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301110248",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301110248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deckerville, MI

Sources for this page

Verify at the official NPI Registry.