Individual provider Active NPI

Abdullah Malkawi, M.D

  • Diagnostic Radiology Physician
  • Providence, RI
National Provider Identifier
1043565500
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD15785 Issued in RI
Practice address
593 Eddy St
Providence, RI 02903-4923
Phone
(401) 444-5174
NPI assigned
Jul 19, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301101132 MI
Diagnostic Radiology Physician 2085R0202X MD15785 RI Primary

Addresses

Primary practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-5416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180808003802 FL Practitioner - Diagnostic Radiology 6800197401 Reassigns benefits to 5 organizations
I20230320002413 CA Practitioner - Diagnostic Radiology 6800197401 Reassigns benefits to 3 organizations
I20260210002607 TX Practitioner - Diagnostic Radiology 6800197401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Imaging at Lake Mary LLCGroup PAC ID 1254311137, 273 clinicians
Halo Medical GroupGroup PAC ID 7012806052, 20 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0042383200, 329 clinicians

Practice addresses (Care Compare)

Irving, TX 75039
Phone (407) 200-2355

12631 Lithuania Dr
Granada Hills, CA 91344-1504
Phone (855) 504-4544

1480 W Orange Blossom TRL
Adventhealth Imaging Apopka
Apopka, FL 32712-2637
Phone (407) 200-5440

1551 Future Way
Adventhealth Imaging
Celebration, FL 34747-4489
Phone (407) 303-4041

1919 E Hwy 50 101
Adventhealth Imaging Center Clermon
Clermont, FL 34711-1975
Phone (352) 717-3738

235 E Princeton St
Suite 100
Orlando, FL 32804-5554
Phone (407) 303-1414

2488 E Irlo Bronson Memorial Hwy
Ahi Partin Settlement
Kissimmee, FL 34744-4948
Phone (407) 200-5440

379 W Fork
Apt 3619
Irving, TX 75039-5803
Phone (407) 200-2355

661 E Altamonte Dr
Suite 130
Altamonte Springs, FL 32701-5102
Phone (407) 303-2155

Hospital & facility affiliations

  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Merit-based Incentive Payment System (MIPS)

Final score
42.78 of 100Reported as group
Quality
31.64
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shin MRI LLC CurrentSince Dec 1, 2022 Accepting new patients
Adore Imaging Inc CurrentSince Jun 1, 2024 Accepting new patients
Impression Imaging LLC Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc Diagnostic Radiology CurrentSince Feb 23, 2026 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Dec 24, 2023 Accepting new patients
Florida Radiology Imaging at Lake Mary LLC Diagnostic Radiology CurrentSince Feb 23, 2026 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 2, 2023 Accepting new patients
Shin Imaging LLC CurrentSince Dec 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Halo Medical Group Diagnostic Radiology CurrentSince Jul 22, 2023 Accepting new patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC Diagnostic Radiology CurrentSince Feb 23, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2018 Accepting new patients
Rhode Island Medical Imaging Inc Diagnostic Radiology PastSince Jun 26, 2022 Accepting new patients
Desert Medical Imaging, a Medical Corporation Past Accepting new patients

Locations

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1955 Sunny Crest Dr
Ste 110
Fullerton, CA 92835
Phone (310) 995-6689

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

47111 Monroe St
#1112
Indio, CA 92201

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

1133 N Palm Canyon Dr
Ste B
Palm Springs, CA 92262
Phone (760) 322-8883

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

2 Dole Dr
Westlake Village, CA 91362
Phone (310) 208-3100

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

900 Winderley Pl
Ste 1100
Maitland, FL 32751
Phone (407) 200-1606

235 E Princeton St
Ste 100
Orlando, FL 32804
Phone (407) 303-1414

7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780

Networks

  • Freedom Health HMO Network

Organizations & group practices 17

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 17

Hospital & facility affiliations 7

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043565500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKAWI",
        "first_name": "ABDULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301101132",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD15785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.