Individual provider Active NPI

Javaid A Malik, MD

  • Interventional Pain Medicine Physician
  • Portsmouth, OH
National Provider Identifier
1114985520
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35.120658 Issued in OH
Practice address
1711 27TH St Ste 102
Portsmouth, OH 45662-2657
Phone
(740) 356-1709
Fax
(740) 356-3027
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.120658 OH
Anesthesiology Physician 207L00000X 271685 NY
Addiction Medicine (Family Medicine) Physician 207QA0401X 271685 NY
Addiction Medicine (Family Medicine) Physician 207QA0401X MD423112 PA
Interventional Pain Medicine Physician 208VP0014X 35.120658 OH Primary

Addresses

Primary practice location

1711 27TH St Ste 102
Portsmouth, OH 45662-2657

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Other identifiers 3

IdentifierTypeStateIssuer
1011409110003MedicaidPA
1011409110004MedicaidPA
03530458MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address javaid.malik@somc.medicity.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140930001768 OH Practitioner - Physical Medicine and RehabilitationPractitioner - AnesthesiologyPractitioner - Pain Management 0244120459 Reassigns benefits to 1 organization
I20160324000367 NY Practitioner - Interventional Pain Management 0244120459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

7700 Ohio River Rd
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
271685NYMDAnesthesiology Physician
35.120658OHMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. Anesthesiology Current Accepting new patients
Olean General Hospital Current Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 17, 2022 Accepting new patients
United Medical Associates PC CurrentSince May 1, 2016 Accepting new patients
United Medical Associates, P.C. CurrentSince May 1, 2016 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 17, 2022 Accepting new patients

Locations

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

515 Main St
Olean, NY 14760
Phone (716) 373-2600

500 Main St
Olean, NY 14760
Phone (716) 373-2600

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1711 27th St
Ste 103
Portsmouth, OH 45662
Phone (740) 356-6808

1711 27th St
Ste 102
Portsmouth, OH 45662
Phone (740) 356-1709

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1114985520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "403-537-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST STE 102",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622657",
            "telephone_number": "740-356-1709",
            "fax_number": "740-356-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "JAVAID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.120658",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "271685",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "271685",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "MD423112",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35.120658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011409110003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011409110004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03530458",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "javaid.malik@somc.medicity.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1711 27th St Ste 102",
            "city": "Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456622657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.