Individual provider Active NPI

Amir G Abdelmalik, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1093967390
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D83499 Issued in MD
Practice address
601 N Caroline St
Baltimore, MD 21287-0006
Phone
(410) 955-9446
NPI assigned
Oct 17, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D83499 MD Primary

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 1

IdentifierTypeStateIssuer
121534500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WY, MD, DC, VA, LA, TX7 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 7

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake City Cancer Care LLCGroup PAC ID 7315250685, 8 clinicians
Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians
Acadiana Radiation Therapy LLCGroup PAC ID 1759604853, 6 clinicians
Rocky Mountain Oncology Center LLCGroup PAC ID 6709879174, 8 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Oncology Center, LLC CurrentSince Apr 16, 2012 Accepting new patients
Allegiance Hospital of Many,LLC CurrentSince Apr 9, 2022 Accepting new patients
Richland Parish Hospital Service District No. 1-B CurrentSince Apr 1, 2020 Accepting new patients
Jackson Parish Hospital CurrentSince May 1, 2020 Accepting new patients
Ward 3 4 & 10 Hospital Service District of Parish of Union CurrentSince May 1, 2020 Accepting new patients
Concordia Parish Hospital Service District Number One Current Accepting new patients
Oncology Consultants, P. a. CurrentSince May 1, 2024 Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Sep 25, 2022 Accepting new patients
Salient Radiology Associates, PLLC Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Richland Parish Hospital Service District No 1-B Current Accepting new patients
Houston Premier Radiology Center Inc. CurrentSince Jun 1, 2019 Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince Aug 1, 2020 Accepting new patients
CLHG-Ville Platte LLC Diagnostic Radiology CurrentSince Jan 17, 2022 Accepting new patients
Houston Cancer Institute PA CurrentSince Sep 4, 2024 Accepting new patients
Community Health of South Florida Inc CurrentSince Jun 23, 2021 Accepting new patients
Gateway Radiology Consultants PA CurrentSince Jan 27, 2020 Accepting new patients
E Plus Pet Imaging XI LP CurrentSince Jun 22, 2016 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Jan 17, 2022 Accepting new patients
Oncology Consultants, P. a. CurrentSince May 1, 2024 Accepting new patients
Lake City Cancer Care LLC CurrentSince Jan 30, 2017 Accepting new patients
Community Health of South Florida, Inc CurrentSince Jun 23, 2021 Accepting new patients
Richland Parish Hospital Service District No 1-B CurrentSince Apr 1, 2020 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
E Plus Pet Imaging VIII LP CurrentSince May 11, 2017 Accepting new patients
Allegiance Hospital of Many, LLC CurrentSince Apr 9, 2022 Accepting new patients
CLHG-Acadian, LLC CurrentSince Jan 7, 2022 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Apr 1, 2020 Accepting new patients
E Plus Pet Imaging XII LP CurrentSince Jan 1, 2019 Accepting new patients
DRH & Associates, Inc CurrentSince Jun 6, 2023 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Apr 1, 2020 Accepting new patients
E Plus Pet Imaging VI LP CurrentSince Apr 16, 2012 Accepting new patients
Concordia Parish Hospital Service District Number One CurrentSince Aug 1, 2020 Accepting new patients
Oncology Consultants, P. a. Current Accepting new patients
Center for Diagnostic Imaging LTD Diagnostic Radiology CurrentSince Jan 2, 2026 Accepting new patients
Inova Health Care Services CurrentSince Jul 1, 2018 Accepting new patients
Acadiana Radiation Therapy LLC CurrentSince Mar 16, 2020 Accepting new patients
Morehouse General Hospital Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
West Hernando Diagnostic and M.R. Center, Inc Diagnostic Radiology Current Accepting new patients
Inova Health Care Services Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Union General Hospital Current Accepting new patients
Gateway Radiology Consultants PA Diagnostic Radiology Current Accepting new patients
West Hernando Diagnostic & Mr Center Diagnostic Radiology CurrentSince Sep 25, 2022 Accepting new patients
Vantage Open MRI LLC CurrentSince Apr 7, 2012 Accepting new patients
CLHG-Acadian LLC Diagnostic Radiology CurrentSince Jan 7, 2022 Accepting new patients
Inova Health Care Services Current Accepting new patients
Gateway Radiology Consultants, P.a. CurrentSince Jan 27, 2020 Accepting new patients
Morehouse General Hospital CurrentSince May 1, 2020 Accepting new patients
Franklin Parish Hospital PastSince May 1, 2020 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) 523-7200

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093967390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 FRANKLIN SQUARE DR STE 2110",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212364902",
            "telephone_number": "410-933-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N CAROLINE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870006",
            "telephone_number": "410-955-9446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4940 Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212242735",
            "country_code": "US",
            "telephone_number": "410-550-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELMALIK",
        "first_name": "AMIR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D83499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121534500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.