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MARIAM MALLAH
NPI 1508582701
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Active since October 18, 2022PECOS Enrolled
5333 MCAULEY DR RM 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariam Mallah NPPES

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

MARIAM MALLAH (NPI 1508582701) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508582701
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIAM MALLAH
Location Address5333 MCAULEY DR RM 4001Ypsilanti, MI 48197-1099
Mailing Address5333 Mcauley Dr Rm 4001Ypsilanti, MI 48197-1099
Phone(734) 712-3980
Sole ProprietorYes
Enumeration DateOctober 18, 2022
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1508582701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5333 MCAULEY DR RM 4001, Ypsilanti, MI 48197
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Mallah 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.

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.

OLIVIA ANNE FAILLA DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
SHAWN O'MALLEY
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
ST JOSEPH MERCY HOSPITAL
General Acute Care Hospital (Critical Access)
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-5863
SUDHA KALI AYALA DO
Internal Medicine
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DAVID BLUMENTHAL MD
Internal Medicine
5333 MCAULEY DR RM 4001, ACADEMIC INTERNAL MEDICINE
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
JACOB AGEMY MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. WILLIAM JOHN NABER II
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
AARTHI MANJUNATHAN
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

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 Mariam Mallah's NPI number?

The NPI number for Mariam Mallah is 1508582701. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Mariam Mallah located?

Mariam Mallah practices at 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Mariam Mallah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mariam Mallah enrolled in Medicare?

Yes. Mariam Mallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariam Mallah was last updated on March 21, 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.