Shane T. Mallon, MD
NPI 1750709119ActiveIndividual· Radiology, Diagnostic Radiology· Ann Arbor, MI
Radiology, Diagnostic Radiology (MD) with Sanford Clinic and 4 other groups, practicing in Ann Arbor, Michigan. Medicare paid $40,918 for services to 1,010 patients in 2024. Lists Ascension Saint Thomas Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1750709119 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 2, 2014 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 22748 | ND |
| Radiology, Diagnostic Radiology | 2085R0202X | V9793 | TX |
| Radiology, Diagnostic Radiology | 2085R0202X | ME175471 | FL |
| Radiology, Diagnostic Radiology | 2085R0202X | 4301105443 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (AL); Practitioner - Diagnostic Radiology (FL); Practitioner - Diagnostic Radiology (MI); Practitioner - Diagnostic Radiology (ND); Practitioner - Diagnostic Radiology (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,010 |
|---|---|
| Services billed | 1,564 across 89 procedure codes |
| Paid by Medicare | $40,918 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Diagnostic Radiology |
| Secondary specialties | Interventional Radiology |
Medical groups
- Sanford ClinicSioux Falls, SD · 268 clinicians
- Concord Radiology PLLCNashville, TN · 225 clinicians
- Peterson Medical AssociatesKerrville, TX · 191 clinicians
- ER Physician Group at Jackson HospitalMarianna, FL · 154 clinicians
- Sanford ClinicRidgefield, WA · 57 clinicians
Hospital affiliations
- Ascension Saint Thomas HospitalNashville, TN
- Ascension St John Medical CenterTulsa, OK
- North Texas Medical CenterGainesville, TX
- Saint Thomas Rutherford HospitalMurfreesboro, TN
- St Joseph's HospitalTucson, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 258 diagnostic radiologists in Ann Arbor · All diagnostic radiologists in Michigan