ALLEDA E MACK (MD) – Medical Oncology Physician, NPI 1487910030

ALLEDA E MACK (MD) is a healthcare provider. based in Troy, Michigan. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301108787 (MI). The NPI Number for ALLEDA E MACK (MD) is 1487910030

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ALLEDA E MACK (MD)
NPI
1487910030
Phone
(734) 464-0887
Address
4967 CROOKS RD
Enumeration Date
9 April 2012
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6093030747
Graduation Year
2012 (14 years ago)
PAC ID
0244530418
Group Practice PAC ID
7618264532
Professional Enrollment ID
I20241128000041
Address ID
NJ085342523PE2XXXXWAYX301
Telehealth
Yes

Contacts

Secure Messaging
alleda.mack.1@12833.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness95
Years active:14State licenses:2Other names

476 HEMATOLOGY/ONCOLOGY in MI

Provider Addresses for ALLEDA E MACK (MD)

  • 4967 CROOKS RD

    TROY, MI 480985801

    Phone: (734) 464-0887

    Type: Location

  • 150 Park Ave

    Florham Park, NJ 079321049

    Phone: (973) 538-5210

    Type: Location

  • 40 Fuld St Ste 404

    Trenton, NJ 086385247

    Phone: (609) 303-0747

    Type: Location

  • 100 K Johnson Blvd Ste 201

    Bordentown, NJ 085052275

    Phone: (609) 303-0747

    Type: Location

  • 2 Capital Way Ste 220

    Pennington, NJ 085342523

    Phone: (609) 303-0747

    Type: Location

  • 130 TOWN CENTER DR

    STE 203

    TROY, MI 480841744

    Phone: (248) 585-8221

    Fax: (248) 585-8270

    Type: Mailing

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151120000694IInternal MedicineMITBD
I20241128000041IHematology/OncologyNJTBD

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 minutes7844$0
99214Established patient office or other outpatient visit, 30-39 minutes5240$0
99212Established patient office or other outpatient visit, 10-19 minutes3322$0
View full utilization report →

Insurance plans in this area (ZIP 48098)

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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: 7618264532View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YPA
Internal MedicineNJ
Family PracticeNJ
Medical OncologyNJ
Family PracticeNJ
Family PracticePA
-PA
Family PracticeNJ
-NJ
-NJ

Reviews

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Frequently asked questions

Can I cross-check ALLEDA E MACK (MD) using NPI 1487910030?
NPI 1487910030 belongs to ALLEDA E MACK (MD); compare other details if you need extra assurance.
Is ALLEDA E MACK (MD) shown as active in public data?
Registry records indicate ALLEDA E MACK (MD) maintains an active NPI.
What kind of doctor is ALLEDA E MACK (MD)?
ALLEDA E MACK (MD) is associated with Medical Oncology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ALLEDA E MACK (MD)?
Directory geography for ALLEDA E MACK (MD) centers on Troy, Michigan.
Does ALLEDA E MACK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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