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

Mahender Macha, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1558359596

Mahender Macha, MD is a Thoracic Surgery in Jackson, Michigan. Qualified in 1991, 35 years ago. Practices with McLaren Port Huron, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Pennsylvania.

Years since qualifying
35
Licensed in
MI, PA
In the registry since
2005
Specialties on file
2
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

1100 E Michigan Ave Ste 301
Jackson, MI 49201-1847
Phone: (517) 817-7605
Fax: (517) 817-7606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 4301064881 (MI)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence MD050898L (PA)

Record details

NPI number1558359596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 13, 2005
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-0002

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice McLaren Port Huron — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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