Active NPI
Malik Wahdan Ayed Samardali
- Hematology & Oncology Physician
- Omaha, NE
National Provider Identifier
1073293700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 37311
- Practice address
- 96840 Nebraska Medical Center
Omaha, NE 68198-6840 - Phone
- (402) 559-5600
- NPI assigned
- Jul 18, 2023
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 37311 | NE | Primary |
Addresses
Primary practice location
96840 Nebraska Medical Center
Omaha, NE 68198-6840
Mailing address
5120 Mayberry St Apt 1218
Omaha, NE 68106-1781
Phone (304) 305-3470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230816003947 | WV | Order and Referring Only - Internal Medicine | 4486016862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1073293700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 MAYBERRY ST APT 1218",
"city": "OMAHA",
"state": "NE",
"postal_code": "681061781",
"telephone_number": "304-305-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96840 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681986840",
"telephone_number": "402-559-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMARDALI",
"first_name": "MALIK",
"middle_name": "WAHDAN AYED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NE",
"license": "37311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
- Sam's Club Optical (Sam's Club Optical 30-8146)
- Samal Foundation (Samal Foundation Inc DBA as Samal Homecare Services)
- Mala Samal
- Terra Samaniego
- Dannielle Jayne Samano, MD
- Samaritan Counseling Centers of the Midlands
- Samaritan Home Health Care, Inc.
- Nimo Hassan Samatar
- Oneyda Samayoa Diaz
- Nicole Samayoa Fuertes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.