Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANE T MALLON MD
NPI 1750709119
Radiology - Diagnostic Radiology in Ann Arbor, MI

Q: What is Shane Mallon's NPI number?

The NPI number for Shane Mallon is 1750709119. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Shane Mallon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Shane Mallon was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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 April 02, 2014PECOS EnrolledAccepts Medicare Assignment

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2026, Dec 1, 2025, Aug 6, 2025 and 1 more (4 updates tracked since 2020).

On this page

About Shane T Mallon Md NPPES

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

SHANE T MALLON MD (NPI 1750709119) is an individual diagnostic radiology provider in Ann Arbor, Michigan, licensed in North Dakota (22748) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750709119

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameSHANE T MALLONCredential: MD

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 936-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 2, 2014

Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1750709119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in ND · 22748✔ Licensed in TX · V9793✔ Licensed in FL · ME175471✔ Licensed in MI · 4301105443

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12101 Pease StHarlingen, TX 78550-8307 · Phone (956) 389-6565

Location 24250 Hospital DrMarianna, FL 32446-1917 · Phone (850) 526-2200 · Fax (850) 718-2531

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas and more.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

Shane T Mallon 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 ID1759506850

PECOS Enrollment IDI20200720001461, I20250812000298, I20250828003920, I20250901000708

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 Reassignments

Medicare enrollment records show Shane Mallon reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of Michigan

Same address

Nephrology

1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109

Reassigned Medicare billing, Michigan enrollment
2,377 clinicians in this Medicare group

NPI 1003848144 (734) 936-4000

Metropolitan Hospital

104 mi

Urgent Care

4055 CASCADE RD SE
Grand Rapids, MI 49546

Reassigned Medicare billing, Michigan enrollment
685 clinicians in this Medicare group

NPI 1720590961 (616) 252-4010

Prime Healthcare Services-Gadsden Physician Management LLC

584 mi

Family Medicine

303 BAY ST STE 401
Gadsden, AL 35901

Reassigned Medicare billing, Alabama enrollment
124 clinicians in this Medicare group

NPI 1356731467 (256) 467-4731

Sanford Clinic

720 mi

Diagnostic Radiology

4820 23RD AVE S
Fargo, ND 58104

Reassigned Medicare billing, Michigan enrollment

NPI 1306641345 (056) 312-4160

Sanford Clinic

720 mi

Diagnostic Radiology

4820 23RD AVE S
Fargo, ND 58104

Reassigned Medicare billing, North Dakota enrollment
93 clinicians in this Medicare group

NPI 1306641345 (056) 312-4160

Sanford Medical Center Fargo

720 mi

Occupational Medicine

3838 12TH AVE N
Fargo, ND 58102

Reassigned Medicare billing, North Dakota enrollment
1,464 clinicians in this Medicare group

NPI 1952323974 (701) 234-4700

ER Physician Group At Jackson Hospital

797 mi

General Practice

4250 HOSPITAL DR
Marianna, FL 32446

Reassigned Medicare billing, Florida enrollment
180 clinicians in this Medicare group

NPI 1407801194 (850) 526-2200

Coaxion PLLC

1,154 mi

Diagnostic Radiology

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1629805221 (469) 677-7430

Concord Radiology PLLC

1,154 mi

Diagnostic Radiology

1602 AVENUE Q
Lubbock, TX 79401

Reassigned Medicare billing, Michigan enrollment
4 clinicians in this Medicare group

NPI 1598260515 (888) 264-0330

Peterson Medical Associates

1,203 mi

Obstetrics & Gynecology

575 HILL COUNTRY DR, STE 202
Kerrville, TX 78028

Reassigned Medicare billing, Texas enrollment
233 clinicians in this Medicare group

NPI 1770800575 (830) 258-6237

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 27

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.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

233 services224 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

192 services178 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

175 services167 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

168 services128 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

69 services67 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

68 services68 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

60 services58 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

59 services57 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

31 services31 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

29 services29 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

28 services28 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

23 services22 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

19 services19 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

18 services18 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

18 services17 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

18 services17 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

17 services17 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

16 services16 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

15 services15 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

14 services14 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

14 services14 patients

Ct scan of middle spine without contrast 72128

A CT scan of the middle spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your mid-spine area. This scan helps doctors identify issues like fractures, tumors, or infections. No dye is used in this procedure.

13 services13 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

13 services13 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

11 services11 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

11 services11 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

11 services11 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

Saint Thomas Rutherford Hospital

Acute Care Hospitals · Murfreesboro, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440053

Location1700 Medical Center ParkwayMurfreesboro, TN 37129 · Rutherford County

Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450090

Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Shane Mallon's NPI number?

The NPI number for Shane Mallon is 1750709119. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Shane Mallon located?

Shane Mallon practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Shane Mallon's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Shane Mallon enrolled in Medicare?

Yes. Shane Mallon 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 organizations bill Medicare for Shane Mallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Mallon reassigns Medicare benefits to 10 organizations: Regents Of The University Of Michigan (Ann Arbor, MI), Metropolitan Hospital (Grand Rapids, MI), Prime Healthcare Services-Gadsden Physician Management LLC (Gadsden, AL), Sanford Clinic (Fargo, ND), Sanford Clinic (Fargo, ND) and 5 more organizations, listed in the Medicare section above. Each 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 Shane Mallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Mallon accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas and 1 other insurer list Shane Mallon 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 Shane Mallon affiliated with any hospitals?

According to CMS data, Shane Mallon is affiliated with Ascension St John Medical Center, Saint Thomas Rutherford Hospital, Ascension Saint Thomas Hospital and North Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Mallon was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.