DR. MUSTAPHA MOHAMED MALLAH (M.D.) – Specialist, NPI 1104879683

DR. MUSTAPHA MOHAMED MALLAH (M.D.) is a healthcare provider. based in Farmington hills, Michigan. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MI-4301081080 (MI). The NPI Number for DR. MUSTAPHA MOHAMED MALLAH (M.D.) is 1104879683

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MUSTAPHA MOHAMED MALLAH (M.D.)
NPI
1104879683
Phone
Not provided
Address
29992 NORTHWESTERN HWY STE C
Enumeration Date
18 May 2006
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484770552
Graduation Year
1993 (33 years ago)
PAC ID
1850285875
Group Practice PAC ID
0345413258
Professional Enrollment ID
I20040211000323
Address ID
MI483365965FA27900AVEX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

216 RHEUMATOLOGY in MI

Provider Addresses for DR. MUSTAPHA MOHAMED MALLAH (M.D.)

  • 29992 NORTHWESTERN HWY STE C

    FARMINGTON HILLS, MI 483343292

    Phone:

    Type: Mailing

  • 1623 FORD AVE

    WYANDOTTE, MI 481922303

    Phone: (734) 389-7167

    Fax: (734) 282-7390

    Type: Location

  • Crescent Plastic Surgery, 1307, Ford Avenue, Wyandotte, Wayne County, Michigan, 48192, United States

    WYANDOTTE, MI 481923823

    Phone: (734) 282-7000

    Fax: (734) 479-2382

    Type: Mailing

  • 27068, Sheahan Drive, Dearborn Meadows, Dearborn Heights, Wayne County, Michigan, 48127, United States

    DEARBORN HEIGHTS, MI 481273650

    Phone: (313) 980-8899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 350 Open Payments records for all available years, with a total value of $6,054.

Total Amount is formed as General ($6,054) + Research ($0) + Ownership ($0) = $6,054.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,343).

Total Amount

$6,054

General + Research + Ownership

Payments

350

Total payment records

General Amount

$6,054

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040211000323IRheumatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1,069251$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25636$0
99203New patient office or other outpatient visit, 30-44 minutes9191$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5827$0
20610Aspiration and/or injection of fluid from large joint5429$0
View full utilization report →

Insurance plans in this area (ZIP 48334)

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Provider's Procedures

DR. MUSTAPHA MOHAMED MALLAH (M.D.) performs procedures in RHEUMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYMI20610Aspiration and/or injection of large joint or joint capsule182101
RHEUMATOLOGYMI81002Urinalysis, manual test2824

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: 0345413258View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
Internal MedicineMI
Otolaryngology, Plastic And Reconstructive SurgeryMI
Medical Oncology, Internal MedicineMI
-MI
-AE
Pediatric MedicineMI

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Frequently asked questions

What is the registry number for DR. MUSTAPHA MOHAMED MALLAH (M.D.)?
The registry entry for DR. MUSTAPHA MOHAMED MALLAH (M.D.) shows NPI 1104879683.
Is DR. MUSTAPHA MOHAMED MALLAH (M.D.)'s NPI status active today?
Active status means DR. MUSTAPHA MOHAMED MALLAH (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. MUSTAPHA MOHAMED MALLAH (M.D.) provide?
DR. MUSTAPHA MOHAMED MALLAH (M.D.)'s profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
Is DR. MUSTAPHA MOHAMED MALLAH (M.D.) tied to Farmington Hills, Michigan?
If you are local to Farmington Hills, Michigan, DR. MUSTAPHA MOHAMED MALLAH (M.D.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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