Active NPI
Mohammad Noman Malik, M.D
- Hospitalist Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2014015794
- Practice address
- 1201 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (973) 405-1872
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26807 | OK | |
| Internal Medicine Physician | 207R00000X | 26807 | OK | |
| Internal Medicine Physician | 207R00000X | 2014015794 | MO | |
| Hospitalist Physician | 208M00000X | 2014015794 | MO | Primary |
Addresses
Primary practice location
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
1008 South Spring St
Division of General Internal Medicine
St Louis, MO 63110
Phone (973) 405-1872
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmalik236791@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090219000465 | OK | Practitioner - Internal Medicine | 4284799529 | Reassigns benefits to 1 organization |
| I20150826002638 | MO | Practitioner - Hospitalist | 4284799529 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Health Care Group
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26807 | OK | MD | Internal Medicine Physician |
| 2014015794 | MO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Care Consultants Region II Inc | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Emergency Medicine | Current | Accepting new patients |
| McAlester Regional Hospitalist | Hospitalist | Past | Accepting new patients |
Locations
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941
17304 Preston Rd
Ste 1400
Dallas, TX 75252
Phone (972) 934-3200
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Emergency Medicine, MO
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Hospitalist, MO
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
Internal Medicine, OK
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1043955503
-
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
- NPI 1306580659
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1144431925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 SOUTH SPRING ST",
"address_2": "DIVISION OF GENERAL INTERNAL MEDICINE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63110",
"telephone_number": "973-405-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "973-405-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "MOHAMMAD",
"middle_name": "NOMAN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "26807",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "26807",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014015794",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2014015794",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmalik236791@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mmalik236791@direct-ehr-ssmhc.com",
"address_1": "1201 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1201 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.