Individual provider Active NPI

Susan Martha Malinowski, M.D.

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1962431494
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43010 52762 Issued in MI
Practice address
29201 Telegraph Rd
Suite 606
Southfield, MI 48034-1331
Phone
(248) 356-8610
NPI assigned
Jun 30, 2006
Last updated
Oct 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 43010 52762 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd
Suite 606
Southfield, MI 48034-1331

Mailing address

29201 Telegraph Rd
Suite 606
Southfield, MI 48034-1331
Phone (248) 356-8610

Other identifiers 1

IdentifierTypeStateIssuer
3386515MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080721000603 MI Practitioner - Ophthalmology 2264505593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 606
Southfield, MI 48034-7649
Phone (248) 356-8610

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.85 of 100Reported as group
Quality
97.17
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43010 52762MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harold Weiss MD&Mark Haimann MD&Joel Miller MD&Susan Malinowski MD Ophthalmology CurrentSince Jan 1, 2007 Accepting new patients
University Physician Group Ophthalmology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northwest Eye Foundation Ophthalmology Past Accepting new patients

Locations

50182 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 522-4256

29201 Telegraph Rd
Ste 606
Southfield, MI 48034
Phone (248) 356-8610

27301 Schoenherr Rd
Ste 101
Warren, MI 48088
Phone (586) 756-3800

Interoperability endpoints

  • Direct secure messaging: susan.malinowski.1@11987.direct.athenahealth.com
  • Direct secure messaging: smalinowski1139958@direct.hfhs.org
  • Direct secure messaging: smalinowski@retinas.intellechartdirect.net

Organizations & group practices 4

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 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1962431494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 606",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 606",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-356-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINOWSKI",
        "first_name": "SUSAN",
        "middle_name": "MARTHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "43010 52762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3386515",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.