NPIMap

Individual provider Active NPI

Fahim Ahmed Malik, MD

  • Nephrology Physician
  • Avalon, PA
National Provider Identifier
1124220546
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD443906 Issued in PA
Practice address
824 California Ave
Avalon, PA 15202-2706
Phone
(412) 766-3232
Fax
(412) 766-1306
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD443906 PA Primary

Addresses

Primary practice location

824 California Ave
Avalon, PA 15202-2706

Mailing address

824 California Ave
Avalon, PA 15202-2706
Phone (412) 766-3232

Other identifiers 2

IdentifierTypeStateIssuer
1155757OtherPACIGNA
102647656MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130923000081 DC Practitioner - NephrologyPractitioner - Internal Medicine 6103919865 Reassigns benefits to 1 organization
I20180831002336 MD Practitioner - NephrologyPractitioner - Internal Medicine 6103919865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Toledo College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLP 31 clinicians

Practice addresses (Care Compare)

116 Defense Hwy
Suite 202
Annapolis, MD 21401-7045
Phone (410) 224-0270

1201 Seven Locks Rd
Suite 200
Rockville, MD 20854-2960
Phone (301) 907-4646

12850 Middlebrook Rd
Suite 209
Germantown, MD 20874-5244
Phone (301) 907-4646

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

Hospital & facility affiliations

  • Bma - Bethesda Dialysis facility, Bethesda, MD, CCN 212503
  • Fresenius Kidney Care Germantown Dialysis facility, Germantown, MD, CCN 212730
  • Bma - Rockville Dialysis facility, Rockville, MD, CCN 212585
  • Advanced Dialysis Center - Rockville Dialysis facility, Rockville, MD, CCN 212656
  • DaVita Rockville Dialysis Center Dialysis facility, Rockville, MD, CCN 212511
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022
  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Sep 1, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Northwest Allied Physicians LLC PastSince Jun 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

116 Defense Hwy
Ste 202
Annapolis, MD 21401
Phone (410) 224-0270

12850 Middlebrook Rd
Ste 209
Germantown, MD 20874
Phone (301) 907-4646

1201 Seven Locks Rd
Ste 200A
Rockville, MD 20854

1201 Seven Locks Rd
Ste 200
Rockville, MD 20854
Phone (301) 652-5771

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

Interoperability endpoints

  • Direct secure messaging: fmalik17137@direct.acumenmd.com
  • Direct secure messaging: fmalik159268@direct.hopkinsmedicine.org

Organizations & group practices 4

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 12

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1124220546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 CALIFORNIA AVE",
            "city": "AVALON",
            "state": "PA",
            "postal_code": "152022706",
            "telephone_number": "412-766-3232",
            "fax_number": "412-766-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 CALIFORNIA AVE",
            "city": "AVALON",
            "state": "PA",
            "postal_code": "152022706",
            "telephone_number": "412-766-3232",
            "fax_number": "412-766-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FAHIM",
        "middle_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD443906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1155757",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102647656",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avalon, PA

Sources for this page

Verify at the official NPI Registry.