WALLY SHERMAN MAHAR M.D. NPI 1790730497

NPI Information

  • NPI: 1790730497
  • Provider Name: WALLY SHERMAN MAHAR, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21 MIDLAND ST
    HIGHLAND PARK, MI
    ZIP 48203
  • Phone: (248) 698-2094

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NPI Details

Wally Sherman Mahar, M.D. is a general practice in Highland Park, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Wally Sherman Mahar, M.D. NPI is 1790730497. 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:

21 MIDLAND ST
HIGHLAND PARK, MI
ZIP 48203-727
Phone: (248) 698-2094
Fax: (877) 218-9387

The NPI 1790730497 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.

  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2012)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/21/2023.

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
1208D00000XGeneral Practice4301030215MICHIGANYes

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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