Individual provider Active NPI

Alexander Malayev, M.D.

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1992757645
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301082525 Issued in MI
Practice address
8401 Holly Rd
Grand Blanc, MI 48439-1812
Phone
(810) 695-8011
Fax
(810) 695-8002
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301082525 MI Primary

Addresses

Primary practice location

8401 Holly Rd
Grand Blanc, MI 48439-1812

Mailing address

5374 Bristol Parke Dr
Clarkston, MI 48348-4828

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
I20060508000672 MI Practitioner - Family Practice 7517978398 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates in Home Health Care PC CurrentSince Jun 1, 2025 Accepting new patients
Alexander Malayev MD PC Family Medicine CurrentSince Jul 1, 2006 Accepting new patients
Inpatient Care Specialists PLLC CurrentSince Dec 1, 2023 Accepting new patients
SJMH Medical Practice-SMHC Past Accepting new patients

Locations

9912 E Grand River Ave
Ste 1000
Brighton, MI 48116
Phone (810) 588-4214

909 W Maple Rd
Ste 106
Clawson, MI 48017
Phone (248) 288-3280

7542 Wyoming St
Dearborn, MI 48126
Phone (313) 415-1515

3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025

8401 Holly Rd
Grand Blanc, MI 48439
Phone (810) 695-8011

72 S Washington St
Ste 202
Oxford, MI 48371
Phone (248) 628-0220

119 S Washington St
Ste 1
Oxford, MI 48371
Phone (248) 220-6871

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

Interoperability endpoints

  • Direct secure messaging: alexander.malayev.1@24172.direct.athenahealth.com

Organizations & group practices 5

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1992757645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5374 BRISTOL PARKE DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483484828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391812",
            "telephone_number": "810-695-8011",
            "fax_number": "810-695-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAYEV",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.