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

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
Mailing address6000 W Creek Rd, Suite 10, Independence, OH 44131-2182

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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