DR. MUSTAPHA MOHAMED MALLAH (M.D.) – Specialist, NPI 1104879683
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $1,343 |
| ABBVIE INC. | $1,224 |
| Amgen Inc. | $1,118 |
| Novartis Pharmaceuticals Corporation | $445 |
| GlaxoSmithKline, LLC. | $255 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040211000323 | I | Rheumatology | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,069 | 251 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 256 | 36 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 91 | 91 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | 27 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 54 | 29 | $0 |
Insurance plans in this area (ZIP 48334)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine | MI | |
| Otolaryngology, Plastic And Reconstructive Surgery | MI | |
| Medical Oncology, Internal Medicine | MI | |
| - | MI | |
| - | AE | |
| Pediatric Medicine | MI |
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