Amir G Abdelmalik, MD
Individual provider Active NPI Diagnostic Radiology Physician · Baltimore, MD
NPI 1093967390 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1093967390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- D83499 (MD)
- Practice address
- 601 N Caroline St
Baltimore, MD 21287-0006 - Phone
- (410) 955-9446
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 72
Medicare Care Compare profile
- Specialty
- Nuclear Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake City Cancer Care LLC
Innovative Radiology PA
Inova Health Care Services
Acadiana Radiation Therapy LLC
Rocky Mountain Oncology Center LLC
Practice addresses (Care Compare)
Centreville, VA 20120
Phone (386) 755-1655
14024 Rose Lodge PL
Chantilly, VA 20151-2247
Phone (585) 218-8006
289 SW Stonegate Ter
Suite 103
Lake City, FL 32024-3457
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
3310 Richmond Ave
Houston, TX 77098-3008
Phone (713) 797-1919
4520 W US Hwy 90
Lake City, FL 32055-8341
Phone (386) 755-0601
525 N Lewis St
New Iberia, LA 70563-2015
Phone (337) 364-1131
5441 Chandley Farm Cir
Centreville, VA 20120-1240
Phone (917) 757-8549
6501 E 2ND St
Casper, WY 82609-4293
Phone (307) 235-5433
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in FL, WY, MD, DC, VA, LA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120427000574 | FL | Practitioner - Nuclear Medicine | 8123280682 | Reassigns benefits to 3 organizations |
| I20120522001148 | WY | Practitioner - Nuclear Medicine | 8123280682 | Reassigns benefits to 1 organization |
| I20170804001286 | MD | Practitioner - Nuclear Medicine | 8123280682 | Reassigns benefits to 1 organization |
| I20180525000408 | DC | Practitioner - Nuclear Medicine | 8123280682 | Reassigns benefits to 9 organizations |
| I20180628003425 | VA | Practitioner - Nuclear Medicine | 8123280682 | Reassigns benefits to 1 organization |
| I20200406001258 | LA | Practitioner - Diagnostic Radiology | 8123280682 | Reassigns benefits to 12 organizations |
| I20201209000031 | TX | Practitioner - Diagnostic Radiology | 8123280682 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (49 of 50)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Parish Hospital Service District No 1-B | Current |
Accepting new patients | |
| CLHG-Ville Platte LLC | Current |
Accepting new patients | |
| Oncology Consultants, P. a. | Current | Accepting new patients | |
| E Plus Pet Imaging XI LP | Current |
Accepting new patients | |
| E Plus Pet Imaging VIII LP | Current |
Accepting new patients | |
| Salient Radiology Associates, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Morehouse General Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| West Hernando Diagnostic & Mr Center | Diagnostic Radiology | Current |
Accepting new patients |
| CLHG-Acadian LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Franklin Parish Hospital Service Dist 1 | Current |
Accepting new patients | |
| CLHG-Ville Platte LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Inova Health Care Services | Diagnostic Radiology | Current |
Accepting new patients |
| DRH & Associates, Inc | Current |
Accepting new patients | |
| Community Health of South Florida, Inc | Current |
Accepting new patients | |
| Jackson Parish Hospital | Current |
Accepting new patients | |
| West Hernando Diagnostic & Mr Center | Diagnostic Radiology | Current |
Accepting new patients |
| Houston Cancer Institute PA | Current |
Accepting new patients | |
| CLHG-Acadian, LLC | Current |
Accepting new patients | |
| Franklin Parish Hospital Service Dist 1 | Current |
Accepting new patients | |
| Community Health of South Florida Inc | Current |
Accepting new patients | |
| Concordia Parish Hospital Service District Number One | Current | Accepting new patients | |
| Lake City Cancer Care LLC | Current |
Accepting new patients | |
| Richland Parish Hospital Service District No 1-B | Current | Accepting new patients | |
| Houston Premier Radiology Center Inc. | Current |
Accepting new patients | |
| Gateway Radiology Consultants PA | Current |
Accepting new patients | |
| Ward 3 4 & 10 Hospital Service District of Parish of Union | Current |
Accepting new patients | |
| Center for Diagnostic Imaging LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Acadiana Radiation Therapy LLC | Current |
Accepting new patients | |
| Rocky Mountain Oncology Center, LLC | Current |
Accepting new patients | |
| Vantage Open MRI LLC | Current |
Accepting new patients | |
| Allegiance Hospital of Many, LLC | Current |
Accepting new patients | |
| Innovative Radiology PA | Diagnostic Radiology | Current |
Accepting new patients |
| Gateway Radiology Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| E Plus Pet Imaging XII LP | Current |
Accepting new patients | |
| E Plus Pet Imaging VI LP | Current |
Accepting new patients | |
| Oncology Consultants, P. a. | Current |
Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Concordia Parish Hospital Service District Number One | Current |
Accepting new patients | |
| Concordia Parish Hospital Service District Number One | Current |
Accepting new patients | |
| Union General Hospital | Current | Accepting new patients | |
| Morehouse General Hospital | Current |
Accepting new patients | |
| Oncology Consultants, P. a. | Current |
Accepting new patients | |
| Richland Parish Hospital Service District No. 1-B | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients | |
| Allegiance Hospital of Many,LLC | Current |
Accepting new patients | |
| West Hernando Diagnostic and M.R. Center, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Gateway Radiology Consultants, P.a. | Current |
Accepting new patients | |
| Franklin Parish Hospital | Past |
Accepting new patients | |
| Allegiance Hospital of Many, LLC | Past | Accepting new patients |
Locations (25 of 42)
10300 SW 216th St
Cutler Bay, FL 33190
7615 Jacque Rd
Hudson, FL 34667
Phone (727) 697-0100
4520 W US Highway 90
Lake City, FL 32055
Phone (386) 755-0601
4800 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 522-1061
3315 Commercial Way
Spring Hill, FL 34606
Phone (325) 688-5860
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
100 Medical Park Dr
Bernice, LA 71222
Phone (318) 285-7777
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020
204 Serio Blvd
Ferriday, LA 71334
Phone (318) 757-0210
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
12060 Texas Hwy
#3
Many, LA 71449
Phone (318) 256-9002
240 Highland Dr
Many, LA 71449
Phone (318) 256-5691
525 N Lewis St
New Iberia, LA 70563
Phone (337) 364-1131
254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181
1813 Northpointe Ln
Ruston, LA 71270
Phone (318) 255-7591
800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590
11335 Pembrooke Sq
#101
Waldorf, MD 20603
Phone (301) 856-6718
3300 Chandler Rd
Ste 106
Muskogee, OK 74403
Phone (918) 608-0350
3750 W Robinson St
Ste 130
Norman, OK 73072
Phone (405) 796-7226
111 Harrison Ave
Ste 104
Oklahoma City, OK 73104
Phone (405) 272-5090
3400 W Hefner Rd
Oklahoma City, OK 73120
Phone (405) 418-0900
6711 S Yale Ave
Ste 104
Tulsa, OK 74136
Phone (918) 522-7200
Networks
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D83499 | MD | Yes |
Addresses
Primary practice location
601 N Caroline St
Baltimore, MD 21287-0006
Mailing address
9910 Franklin Square Dr Ste 2110
Baltimore, MD 21236-4902
Phone (410) 933-6421
Other practice location 1
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121534500 | Medicaid | MD |
Other providers in Baltimore, MD
- Ali Abdel Kareem
- Suzanne Aly Abdelazim
- Heidi Abdelhady
- Ahmed Tarek Mohamed Abdelhalim
- Mostafa Abdelhalim
- Sally Abdelmomin
- Ayia Osama Abdelmouti
- Sara Abdelnour
- Mohamed Abdelrahman
- Maaza Sophia Abdi
All providers in Baltimore, MD · Diagnostic Radiology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.