GEORGE BORIS MYCHALISKA MD
NPI 1881796118
Surgery - Pediatric Surgery in Ann Arbor, MI

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR FL 4, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About George Boris Mychaliska Md NPPES

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

GEORGE BORIS MYCHALISKA MD (NPI 1881796118) is an individual pediatric surgery provider in Ann Arbor, Michigan, licensed in Michigan (4301074649) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1881796118
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameGEORGE BORIS MYCHALISKACredential: MD
Location Address1500 E MEDICAL CENTER DR FL 4Ann Arbor, MI 48109-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 5, 2006
Last NPPES UpdateNovember 25, 2019
✔ NPI 1881796118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MI · 4301074649
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 4301074649 (MI)
1500 E MEDICAL CENTER DR FL 4, Ann Arbor, MI 48109

Other Identifiers 1

Medicaid4677482MI

Accepted 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

George Boris Mychaliska 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 ID3971569310
PECOS Enrollment IDI20050119001040
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

5

Medicare enrollment records show George Mychaliska reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
Internal Medicine
5333 MCAULEY DR, SUITE 4001
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 180 clinicians in this Medicare group
Urgent Care
4400 HIGHLAND RD
Waterford, MI 48328
  • Reassigned Medicare billing, Michigan enrollment
  • 139 clinicians in this Medicare group
Emergency Medicine
800 E COLUMBIA ST
Mason, MI 48854
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
Radiology
5494 S DORT HWY
Flint, MI 48507
  • Reassigned Medicare billing, Michigan enrollment
  • 467 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 George Mychaliska's NPI number?

The NPI number for George Mychaliska is 1881796118. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is George Mychaliska located?

George Mychaliska practices at 1500 E Medical Center Dr Fl 4, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is George Mychaliska's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is George Mychaliska enrolled in Medicare?

Yes. George Mychaliska 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 George Mychaliska's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Mychaliska reassigns Medicare benefits to 5 organizations: Regents Of The University Of Michigan (Ann Arbor, MI), St Joseph Mercy Hospital (Ypsilanti, MI), Sjmh Medical Practice-Smhc (Waterford, MI), Edward W. Sparrow Hospital Association (Mason, MI) and Hurley Medical Center (Flint, MI). 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 George Mychaliska's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Mychaliska 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 George Mychaliska 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.

When was this NPI record last updated?

The NPPES record for George Mychaliska was last updated on November 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.