DR. KATHRYN SHANNON MALOY M.D., MPH
NPI 1134410863
Obstetrics & Gynecology in Southgate, MI

Q: What is Kathryn Maloy's NPI number?

The NPI number for Kathryn Maloy is 1134410863. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Q: What is Kathryn Maloy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Maloy was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment

15675 NORTHLINE RD, SOUTHGATE, MI 48195(734) 282-3600 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kathryn Shannon Maloy M.d., Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHRYN SHANNON MALOY M.D., MPH (NPI 1134410863) is an individual obstetrics & gynecology provider in Southgate, Michigan, licensed in Michigan (4301507876) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Wyandotte Hospital, and is a graduate of George Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1134410863

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KATHRYN SHANNON MALOYCredential: M.D., MPH

Location Address15675 NORTHLINE RDSouthgate, MI 48195-2334

Mailing Address2200 Jefferson Ave Fl 5Toledo, OH 43604-7102

Phone(734) 282-3600

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2011

Enumeration DateApril 28, 2011

Last NPPES UpdateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1134410863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MI · 4301507876✔ Licensed in OH · 35132074

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

15675 NORTHLINE RD, Southgate, MI 48195

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathryn Shannon Maloy M.d., Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517273840

PECOS Enrollment IDI20250621000141

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230146

Location2333 Biddle AveWyandotte, MI 48192 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY CATHERINE DELUCIA WHCNP

Nurse Practitioner (Women's Health)