ALI FAROUK MALLAT (MD) – Surgery Physician, NPI 1508087826

ALI FAROUK MALLAT (MD) is a healthcare provider. based in Independence, Ohio. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 4301089640 (MI). The NPI Number for ALI FAROUK MALLAT (MD) is 1508087826

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ALI FAROUK MALLAT (MD)
NPI
1508087826
Phone
(216) 986-1256
Address
6000 W CREEK RD
Enumeration Date
2 May 2007
Last Update Date
25 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303446363
Graduation Year
2000 (26 years ago)
PAC ID
2163587973
Group Practice PAC ID
9537211750
Professional Enrollment ID
I20170601001094
Address ID
OH443072432AK1XXXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,600 GENERAL SURGERY in OH

Provider Addresses for ALI FAROUK MALLAT (MD)

  • 6000 W CREEK RD

    SUITE 10

    INDEPENDENCE, OH 441312182

    Phone: (216) 986-1256

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($125).

Total Amount

$264

General + Research + Ownership

Payments

5

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2017-06-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170601001094IGeneral SurgeryOHTBD

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
99291Critical care, first 30-74 minutes8344$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3434$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3328$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 44131)

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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: 9537211750View full group profile
NameSpecialtyState
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
General SurgeryOH
General SurgeryOH
General SurgeryOH
General SurgeryPA
General SurgeryAZ
General SurgeryOH
Colorectal Surgery (Proctology), General SurgeryOH
-OH
General SurgeryIN

Reviews

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Frequently asked questions

What is the registry number for ALI FAROUK MALLAT (MD)?
The registry entry for ALI FAROUK MALLAT (MD) shows NPI 1508087826.
Is ALI FAROUK MALLAT (MD) currently accepting referrals based on NPI status?
Registry metadata lists ALI FAROUK MALLAT (MD) as active.
What does the directory say ALI FAROUK MALLAT (MD) does?
Insurance directories may phrase it differently, but here ALI FAROUK MALLAT (MD) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALI FAROUK MALLAT (MD)?
ALI FAROUK MALLAT (MD) is associated with Independence, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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