Malik Momin, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD044639-E Issued in PA

Practice address

825 Sir Thomas CT
Suite B
Harrisburg, PA 17109-4839

Phone

(717) 652-8670

Fax

(717) 901-5009

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Pennsylvania State University College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susquehanna Valley Pain Management, P.C.Group PAC ID 8022063171, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score

86.38 of 100Reported as group

Quality

88.78

Improvement activities

40

Cost

69.56

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drmomin@svpainclinic.medentdirect.com

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.

• Susquehanna Valley Pain Management PC

  • Interventional Pain Medicine Physician
  • Harrisburg, PA
  • NPI 1053399253

  Anesthesiology

  Medicare reassignment Care Compare group NPD Authorized official
• Harrisburg Interventional Pain MGMT Ctr

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1215997929
  NPD Authorized official
• West Shore Pain and Spine Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Mechanicsburg, PA
  • NPI 1851845986
  NPD Authorized official

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

• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1164526588

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1265537674
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1346344769

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Harrisburg, PA
  • NPI 1407813603
  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
  • NPI 1528940962

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • Ambulatory Surgical Clinic/Center
  • Mechanicsburg, PA
  • NPI 1922425651

  Hospital

  Care Compare affiliation
• Upmc Pinnacle Hospitals

  • General Acute Care Hospital
  • Mechanicsburg, PA
  • NPI 1972613305
  Care Compare affiliation

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1023096708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT",
            "address_2": "SUITE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SIR THOMAS CT",
            "address_2": "SUITE B",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-652-8670",
            "fax_number": "717-901-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "MALIK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD044639-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01236377",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas L. Moffett, DDS
• William L Moffett, D.M.D.
• Bernadine Moglia, M.D.
• Laura Marie Molitoris, PHDHP, MPA
• Nicole L Molnar, PA-C
• Momma Nan'S Home Care Services
• Kirstie Moni
• Emma K Monismith, MT-BC
• Emily Monko, PA-C
• Martisa Monroe

• Anesthesiology Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.