Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ali Farouk Mallat, MD

Individual provider Surgery Physician · NPI 1508087826

Ali Farouk Mallat, MD is a General Surgery in Independence, Ohio. Qualified in 2000, 26 years ago. Practices with Acute Care Surgery Service at Akron, a 14-clinician group and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
26
Licensed in
MI, OH
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6000 W Creek Rd Ste 10
Independence, OH 44131-2182
Phone: (216) 986-1256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 129879 (OH)
Surgery Physician Taxonomy 208600000X · Licence 4301089640 (MI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 4301089640 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301089640 (MI)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 129879 (OH)

Record details

NPI number1508087826
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESMarch 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Acute Care Surgery Service At Akron — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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