KELLY ELIZABETH MALLON DO
NPI 1699467381
Obstetrics & Gynecology in Farmington Hills, MI

Q: What is Kelly Mallon's NPI number?

The NPI number for Kelly Mallon is 1699467381. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Q: What is Kelly Mallon'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 Kelly Mallon was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 22, 2023PECOS Enrolled

28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(947) 521-7393 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Elizabeth Mallon Do NPPES

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

KELLY ELIZABETH MALLON DO (NPI 1699467381) is an individual obstetrics & gynecology provider in Farmington Hills, Michigan, licensed in Michigan (5151016278) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699467381

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY ELIZABETH MALLONCredential: DO

Location Address28050 GRAND RIVER AVEFarmington Hills, MI 48336-5919

Mailing Address28050 Grand River AveFarmington Hills, MI 48336-5919

Phone(947) 521-7393

Sole ProprietorNo

Enumeration DateMay 22, 2023

NPPES CertifiedMay 22, 2023

✔ NPI 1699467381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 5151016278

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.

28050 GRAND RIVER AVE, Farmington Hills, MI 48336

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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)

Kelly Elizabeth Mallon Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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 20

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

PHYLLIS A SURMA RN

Registered Nurse (Diabetes Educator)

28050 GRAND RIVER AVE, TRACC
FARMINGTON HILLS, MI 48336

Oakland County (248) 471-8000

KAREN WATSON OTR/L

Occupational Therapist