DR. MARILYNN SULTANA-GALLICK M.D.
NPI 1366445769
Ophthalmology in Warren, MI

Active since May 31, 2005PECOS Enrolled
29753 HOOVER RD, STE A, WARREN, MI 48093(586) 573-4333(586) 573-2149 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marilynn Sultana-gallick M.d. NPPES

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

DR. MARILYNN SULTANA-GALLICK M.D. (NPI 1366445769) is an individual ophthalmology provider in Warren, Michigan, licensed in Michigan (4301047297) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366445769
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARILYNN SULTANA-GALLICKCredential: M.D.
Location Address29753 HOOVER RD, STE AWarren, MI 48093-8900
Mailing Address29753 Hoover Rd, Ste AWarren, MI 48093-8900 · (586) 573-4333 · Fax (586) 573-2149
Fax(586) 573-2149
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateJanuary 22, 2020
✔ NPI 1366445769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301047297
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
29753 HOOVER RD, Warren, MI 48093

Other Identifiers 3

Medicaid33361100MI
Other1805005281MI · Blue Shield Of Michigan
Medicaid3336110MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marilynn Sultana-gallick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marilynn Sultana-gallick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
29753 HOOVER RD, SUITE A
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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 7

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

Ophthalmology
29753 HOOVER RD, SUITE A
WARREN, MI 48093
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Dentist
29753 HOOVER RD
WARREN, MI 48093
Dentist
29753 HOOVER RD, B
WARREN, MI 48093
Ophthalmology
29753 HOOVER RD, STE A
WARREN, MI 48093
Ophthalmology
29753 HOOVER RD, SUITE A
WARREN, MI 48093

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 Marilynn Sultana-gallick's NPI number?

The NPI number for Marilynn Sultana-gallick is 1366445769. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Marilynn Sultana-gallick located?

Marilynn Sultana-gallick practices at 29753 Hoover Rd Ste A, Warren, MI 48093. The listed phone number is (586) 573-4333.

What is Marilynn Sultana-gallick's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marilynn Sultana-gallick enrolled in Medicare?

Yes. Marilynn Sultana-gallick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marilynn Sultana-gallick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilynn Sultana-gallick reassigns Medicare benefits to Cataract And Eye Consultants Of Mi PC (Warren, 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 Marilynn Sultana-gallick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marilynn Sultana-gallick was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.