SHIVA J MARALANI MD
NPI 1497710982
Urology in St Clair Shores, MI

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081(586) 771-4820(586) 771-6620 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shiva J Maralani Md NPPES

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

SHIVA J MARALANI MD (NPI 1497710982) is an individual urology provider in St Clair Shores, Michigan, licensed in Michigan (4301060368) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1992).

NPPES Registry Identity

NPI1497710982
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameSHIVA J MARALANICredential: MD
Location Address20952 E 12 MILE RD, SUITE 200St Clair Shores, MI 48081-3200
Mailing Address20952 E 12 Mile Rd, Suite 200St Clair Shores, MI 48081-3200 · (586) 771-4820 · Fax (586) 771-6620
Fax(586) 771-6620
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1992
Enumeration DateApril 19, 2006
Last NPPES UpdateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1497710982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301060368
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 4301060368 (MI)
20952 E 12 MILE RD, St Clair Shores, MI 48081

Other Identifiers 6

Other7738350002MI · Cigna
Other01004182MI · Health Plus
OtherG78723MI · Hap
Other340014930MI · Railroad Medicare
Other124503MI · Priority Health
Other5124630MI · Aetna

Accepted 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

Shiva J Maralani 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.

PECOS PAC ID8426000415
PECOS Enrollment IDI20050217000900
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.

Areas of Expertise CMS Part B claims 49

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,845 services947 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
1,156 services774 patients
Bcg live intravesical instillation, 1 mg J9030
BCG live intravesical instillation is a procedure where a weakened form of a bacteria is introduced into your bladder. This helps your body's immune system to fight off certain bladder conditions. The procedure is generally safe and effective.
1,150 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
980 services657 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
323 services287 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
294 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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.

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
9 suppliers88 claims19,750 services$1.73 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
6 suppliers25 claims60 services$9.37 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$6.05 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers13 claims130 services$6.00 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
4 suppliers17 claims280 services$3.46 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims465 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Physical Therapist
20952 E 12 MILE RD, SUITE 110
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
ST CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Physical Therapist
20952 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Urology
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 48081
Specialist
20952 E 12 MILE RD, SUITE 150
ST CLAIR SHORES, MI 48081

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 Shiva Maralani's NPI number?

The NPI number for Shiva Maralani is 1497710982. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Shiva Maralani located?

Shiva Maralani practices at 20952 E 12 Mile Rd Suite 200, St Clair Shores, MI 48081. The listed phone number is (586) 771-4820.

What is Shiva Maralani's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shiva Maralani enrolled in Medicare?

Yes. Shiva Maralani 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.

What insurance does Shiva Maralani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Shiva Maralani 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 Shiva Maralani affiliated with any hospitals?

According to CMS data, Shiva Maralani is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Shiva Maralani was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.