DR. MARCUS SALIM MUALLEM MD
NPI 1194927335
Ophthalmology in Grand Rapids, MI
About Dr. Marcus Salim Muallem Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARCUS SALIM MUALLEM MD (NPI 1194927335) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4301090063) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Marcus Salim Muallem Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Marcus Muallem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Blue Sky Vision Eye Care PC
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marcus Muallem's NPI number?
The NPI number for Marcus Muallem is 1194927335. It was assigned to this individual provider in the NPPES registry on June 1, 2007.
Where is Marcus Muallem located?
Marcus Muallem practices at 750 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 949-2600.
What is Marcus Muallem's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Marcus Muallem enrolled in Medicare?
Yes. Marcus Muallem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Marcus Muallem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Muallem reassigns Medicare benefits to Blue Sky Vision Eye Care, P.C (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcus Muallem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marcus Muallem accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 14 other insurers list Marcus Muallem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Marcus Muallem affiliated with any hospitals?
According to CMS data, Marcus Muallem is affiliated with Spectrum Health.
When was this NPI record last updated?
The NPPES record for Marcus Muallem was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.