NPIMap

Individual provider Active NPI

Malik M. Naqi, MD

  • Internal Medicine Physician
  • Live Oak, FL
National Provider Identifier
1083881668
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME100575 Issued in FL
Practice address
1426 Canyon Ave NE Ste C
Live Oak, FL 32064-4832
Phone
(386) 208-0537
Fax
(386) 208-0571
NPI assigned
May 13, 2008
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 234730 MA
Internal Medicine Physician 207R00000X ME100575 FL Primary

Addresses

Primary practice location

1426 Canyon Ave NE Ste C
Live Oak, FL 32064-4832

Mailing address

PO Box 143001
Gainesville, FL 32614-3001
Phone (352) 379-2742

Other identifiers 1

IdentifierTypeStateIssuer
000107100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000254 FL Practitioner - Internal Medicine 1254404346 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Internal Medicine of Florida LLCGroup PAC ID 8022263417, 6 clinicians

Practice addresses (Care Compare)

1426 Canyon Ave NE
Suite C
Live Oak, FL 32064-4832
Phone (386) 208-0537

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234730MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Acv Community Services LLC CurrentSince Apr 7, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2008 Accepting new patients
Ascension Internal Medicine of Florida, LLC Internal Medicine CurrentSince May 30, 2012 Accepting new patients
Cardiac Care Center Inc PastSince Apr 1, 2020 Accepting new patients

Locations

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

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

755 SW State Road 47
Lake City, FL 32025
Phone (386) 754-8000

1100 11th St SW
Live Oak, FL 32064
Phone (386) 362-0800

1426 Canyon Ave NE
Ste C
Live Oak, FL 32064
Phone (386) 208-0537

Organizations & group practices 5

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1083881668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143001",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326143001",
            "telephone_number": "352-379-2742",
            "fax_number": "352-379-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 CANYON AVE NE STE C",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644832",
            "telephone_number": "386-208-0537",
            "fax_number": "386-208-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAQI",
        "first_name": "MALIK",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "234730",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME100575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000107100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.