Individual provider Active NPI

Mohammad Zubair Malik, MD

  • Nephrology Physician
  • Osage Beach, MO
National Provider Identifier
1174701411
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2011025491 Issued in MO
Practice address
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone
(573) 348-8000
Fax
(573) 302-2297
NPI assigned
Feb 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011025491 MO
Nephrology Physician 207RN0300X 2011025491 MO Primary
Nephrology Physician 207RN0300X 036.155058 IL
Internal Medicine Physician 207R00000X 201861 LA

Addresses

Primary practice location

54 Hospital Dr
Osage Beach, MO 65065-3050

Mailing address

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20110920000589 MO Practitioner - NephrologyPractitioner - Internal Medicine 0840374310 Reassigns benefits to 2 organizations
I20210109000100 IL Practitioner - NephrologyPractitioner - Internal Medicine 0840374310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201861LAMDInternal Medicine Physician
036.155058ILMDNephrology Physician
2011025491MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Lake Regional Health System CurrentSince Dec 1, 2023 Accepting new patients
Cole Physician Services LLC CurrentSince Oct 18, 2015 Accepting new patients
Lake Regional Health System Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince May 24, 2022 Accepting new patients
Lake Regional Health System Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Doctors Group , PC Internal Medicine Past Accepting new patients
Jefferson Physician Network, LLC Past Accepting new patients

Locations

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

200 E Pennsylvania Ave
Ste 212
Peoria, IL 61603
Phone (309) 624-9259

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

530 Park Ave E
Ste 403
Princeton, IL 61356
Phone (815) 224-1610

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Organizations & group practices 8

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1174701411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8000",
            "fax_number": "573-302-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOSPITAL DR",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653050",
            "telephone_number": "573-348-8000",
            "fax_number": "573-302-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MOHAMMAD",
        "middle_name": "ZUBAIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011025491",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2011025491",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036.155058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "201861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.