THOMAS MACHOLAN (MD) – Family Medicine Physician, NPI 1093768574

THOMAS MACHOLAN (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 4301044818 (MI). The NPI Number for THOMAS MACHOLAN (MD) is 1093768574

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS MACHOLAN (MD)
NPI
1093768574
Phone
(616) 685-1808
Address
245 STATE ST SE
Enumeration Date
18 May 2006
Last Update Date
29 June 2009

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
6166858250
Graduation Year
1980 (46 years ago)
PAC ID
3173528569
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20060918000278
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for THOMAS MACHOLAN (MD)

  • 245, State Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034328

    Phone: (616) 685-1808

    Fax: (616) 685-1850

    Type: Mailing

  • 3380, 44th Street Southwest, Grandville, Kent County, Michigan, 49418, United States

    GRANDVILLE, MI 494182461

    Phone: (616) 685-8250

    Fax: (616) 532-9564

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile
NameSpecialtyState
-MI
-MI
-MI
N E U R O L O G YMI
Physician AssistantMI
-MI
-MI
Physician AssistantMI
Nurse PractitionerMI
Pulmonary Disease, Critical Care (Intensivists)MI

Reviews

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Frequently asked questions

Can I use this page to confirm THOMAS MACHOLAN (MD)'s NPI?
Yes. THOMAS MACHOLAN (MD) is listed with NPI 1093768574 in the public NPI dataset.
Does CMS list THOMAS MACHOLAN (MD) as active?
Yes — THOMAS MACHOLAN (MD) is active in the NPI listing used on this page.
What is THOMAS MACHOLAN (MD)'s specialty?
The listing groups THOMAS MACHOLAN (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect THOMAS MACHOLAN (MD) on a map?
Expect Grand Rapids, Michigan as a primary anchor for THOMAS MACHOLAN (MD) unless the record lists multiple sites.
Why does THOMAS MACHOLAN (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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