Individual provider Active NPI

Othman Mohamed-Asem Abdul-Malak

  • Vascular Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1003285602
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D99750 Issued in MD
Practice address
200 Lothrop St
F600 Presbyterian Hospital
Pittsburgh, PA 15213-2536
Phone
(412) 647-2345
NPI assigned
Sep 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D99750 MD Primary

Addresses

Primary practice location

200 Lothrop St
F600 Presbyterian Hospital
Pittsburgh, PA 15213-2536

Mailing address

200 Lothrop St
F600 Presbyterian Hospital
Pittsburgh, PA 15213-2536
Phone (412) 647-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818001800 MD Practitioner - Vascular Surgery 8820450034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLC 3,726 clinicians
Medstar Heart Institute LLC 308 clinicians

Practice addresses (Care Compare)

12 Medstar Blvd
Bel Air, MD 21015-1798
Phone (410) 877-8088

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2923

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 554-2950

3333 N Calvert St
Baltimore, MD 21218-2867
Phone (410) 261-8500

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

9501 Old Annapolis Rd
Suite 220
Ellicott City, MD 21042-6332
Phone (301) 621-6570

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)25
Removal of tissue70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D99750MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
Medstar Heart Institute LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

9501 Old Annapolis Rd
Ste 220
Ellicott City, MD 21042
Phone (410) 772-2000

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

5009 Honeygo Center Dr
Ste 210
Perry Hall, MD 21128
Phone (443) 725-2110

9101 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-2000

9101 Franklin Square Dr
Ste 212
Rosedale, MD 21237
Phone (410) 391-3637

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 23

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1003285602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "F600 PRESBYTERIAN HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "F600 PRESBYTERIAN HOSPITAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-MALAK",
        "first_name": "OTHMAN",
        "middle_name": "MOHAMED-ASEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-24",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D99750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.