Individual provider Active NPI

Bachar Malek, M.D.

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1043282627
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01061287A Issued in IN
Practice address
4972 Lincoln Ave
Suit 101
Evansville, IN 47715-7909
Phone
(812) 402-3700
Fax
(812) 402-4611
NPI assigned
Feb 7, 2006
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01061287A IN Primary

Addresses

Primary practice location

4972 Lincoln Ave
Suit 101
Evansville, IN 47715-7909

Mailing address

4972 Lincoln Ave
Suit 101
Evansville, IN 47715-7909
Phone (812) 402-3700

Other identifiers 2

IdentifierTypeStateIssuer
000000618302OtherINANTHEM BLUE CROSS
200807410MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060331000034 IN Practitioner - Internal Medicine 9537177605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indiana Exceptional Medical CareGroup PAC ID 8527241488, 22 clinicians

Practice addresses (Care Compare)

4972 Lincoln Ave
Suite 101
Evansville, IN 47715-7909
Phone (812) 402-3700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Advanced Treatment Center Internal Medicine CurrentSince Oct 15, 2016 Accepting new patients
Indiana Exceptional Medical Care Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients

Locations

2522 Waterbridge Way
Evansville, IN 47710
Phone (812) 402-3700

4972 Lincoln Ave
Ste 101
Evansville, IN 47715
Phone (812) 402-3700

Organizations & group practices 2

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

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1043282627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 LINCOLN AVE",
            "address_2": "SUIT 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157909",
            "telephone_number": "812-402-3700",
            "fax_number": "812-402-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 LINCOLN AVE",
            "address_2": "SUIT 101",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477157909",
            "telephone_number": "812-402-3700",
            "fax_number": "812-402-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEK",
        "first_name": "BACHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01061287A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000618302",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200807410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.