LATISHA M MALCOM (M.D.) – Internal Medicine Physician, NPI 1114999430
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,218 INTERNAL MEDICINE in MI
Provider Addresses for LATISHA M MALCOM (M.D.)
6455 Gratiot Ave
Detroit, MI 482071808
Phone: (313) 921-8600
Fax: (313) 921-1712
Type: Location
Gratiot Avenue, Gratiot-Findlay, Detroit, Wayne County, Michigan, 48205, United States
DETROIT, MI 482071808
Phone: (313) 921-8600
Fax: (313) 921-1712
Type: Location
Plymouth Road, Livonia, Wayne County, Michigan, 48170, United States
LIVONIA, MI 481502385
Phone: (734) 266-2780
Fax: (734) 466-9615
Type: Mailing
2700 HAMLIN BLVD
INKSTER, MI 481412206
Phone: (313) 561-5100
Fax: (313) 565-0309
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $291.
Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Exact Sciences Corporation ($92).
Total Amount
$291
General + Research + Ownership
Payments
14
Total payment records
General Amount
$291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $92 |
| Gilead Sciences, Inc. | $76 |
| USWM, LLC | $52 |
| ViiV Healthcare Company | $20 |
| PFIZER INC. | $19 |
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: 2004-09-01
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 |
|---|---|---|---|---|
| I20040901000249 | I | Internal Medicine | 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 |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 40 | 33 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 39 | 39 | $0 |
| 83036 | Hemoglobin a1c level | 22 | 21 | $0 |
Insurance plans in this area (ZIP 48207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI |
Reviews
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