MOUAZ H AL-MALLAH M.D. NPI 1255446217

NPI Information

  • NPI: 1255446217
  • Provider Name: MOUAZ H AL-MALLAH, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2799 W GRAND BLVD # K14
    DETROIT, MI
    ZIP 48202
  • Phone: (313) 916-2871

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NPI Details

Mouaz H Al-mallah, M.D. is a cardiovascular disease internal medicine in Detroit, MI with 28 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mouaz H Al-mallah, M.D. NPI is 1255446217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2799 W GRAND BLVD # K14
DETROIT, MI
ZIP 48202-608
Phone: (313) 916-2871

The NPI 1255446217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (HCPCS:78431)
  • Nuclear medicine study of heart muscle blood flow by pet (HCPCS:78434)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Mri scan of blood flow of heart (HCPCS:75565)
  • Nuclear medicine study, 1 area with spect (HCPCS:78803)
  • Nuclear medicine study of heart muscle with metabolic and blood flow evaluation requiring 2 injections and concurrent ct scan (HCPCS:78433)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Mri scan of heart before and after contrast (HCPCS:75561)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Nuclear medicine study of heart muscle at rest and with stress and spect (HCPCS:78451)
  • Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Nuclear medicine study of heart muscle with metabolic evaluation and concurrent ct scan (HCPCS:78429)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, anatomical data review (HCPCS:0504T)
  • Technetium tc-99m sestamibi, diagnostic, per study dose (HCPCS:A9500)
  • Mri scan of blood vessels of chest (HCPCS:71555)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Nuclear medicine study of heart muscle at rest and with stress and spect (HCPCS:78451)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Mri scan of heart before and after contrast with stress imaging (HCPCS:75563)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease228285MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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