MRS. NISSRIN RITA MALOUF M.S.,PA-C
NPI 1801012463
Physician Assistant - Medical in Detroit, MI

Q: What is Nissrin Malouf's NPI number?

The NPI number for Nissrin Malouf is 1801012463. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Nissrin Malouf's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nissrin Malouf was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 18, 2007PECOS Enrolled

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-3364 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Nissrin Rita Malouf M.s.,pa-c NPPES

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

MRS. NISSRIN RITA MALOUF M.S.,PA-C (NPI 1801012463) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601004305) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Wayne State University School Of Medicine (2004).

NPPES Registry Identity

NPI1801012463

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. NISSRIN RITA MALOUFCredential: M.S.,PA-C

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address2107 Prescott DrTroy, MI 48083-2529 · (248) 790-3331

Phone(313) 916-3364

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2004

Enumeration DateApril 18, 2007

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1801012463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601004305

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601004305 (MI)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601004305 (MI)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nissrin Rita Malouf M.s.,pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991763534

PECOS Enrollment IDI20041229000123

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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

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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.

HENRY FORD HOSPITAL

General Acute Care Hospital