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

Ian Michalak, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1558927608

Ian Michalak, MD is a Pediatric Medicine in Memphis, Tennessee. Qualified in 2019, 7 years ago. Practices with UT Lebonheur Pediatric Specialists, Inc, a 172-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
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

770 Estate Pl
Memphis, TN 38120-0600
Phone: (901) 395-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 920 Madison Ave Fl 2, Memphis, TN 38163-3438 — (901) 448-2400

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 76090 (TN)

Record details

NPI number1558927608
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 14, 2019
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address920 Madison Ave Fl 2, Memphis, TN 38103-3438

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ut Lebonheur Pediatric Specialists, Inc. — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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