Active NPI
Bachar Malek, M.D.
- Internal Medicine Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01061287A
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000618302 | Other | IN | ANTHEM BLUE CROSS |
| 200807410 | Medicaid | IN |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evansville Advanced Treatment Center | Internal Medicine | Current | Accepting new patients |
| Indiana Exceptional Medical Care | Internal Medicine | Current | 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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1669708756
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1548707425
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Evansville, IN
- NPI 1285285676
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.