Individual provider Active NPI

Fahad Imtiaz Malik, M.D.

  • Hospitalist Physician
  • Binghamton, NY
National Provider Identifier
1184078404
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
305406 Issued in NY
Practice address
40 Mitchell Avenue
Binghamton, NY 13903
Phone
(607) 772-0639
NPI assigned
Apr 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 38624 AL
Hospitalist Physician 208M00000X 305406 NY Primary

Addresses

Primary practice location

40 Mitchell Avenue
Binghamton, NY 13903

Mailing address

40 Mitchell Avenue
Binghamton, NY 13903
Phone (607) 772-0639

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fahad.i.malik@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191210002365 AL Practitioner - Internal Medicine 5294072294 Reassigns benefits to 3 organizations
I20210218002048 NY Practitioner - GastroenterologyPractitioner - Internal MedicinePractitioner - Hospitalist 5294072294 Reassigns benefits to 5 organizations
I20250213002577 PA Practitioner - Gastroenterology 5294072294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians
United Medical Associates PCGroup PAC ID 0345144978, 229 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131

1015 Franklin St
Johnstown, PA 15905-4110
Phone (814) 534-1270

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6412

5100 W Taft Rd
Liverpool, NY 13088-4841

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

700 High St
Williamsport, PA 17701-3100
Phone (570) 321-3454

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy146
Upper gastrointestinal (GI) endoscopy for acid reflux272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Internal Medicine CurrentSince Aug 13, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Aug 13, 2019 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Aug 7, 2023 Accepting new patients
United Medical Associates PC CurrentSince Jan 18, 2021 Accepting new patients
St Josephs Medical PC Internal Medicine CurrentSince Jul 12, 2024 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Dec 16, 2019 Accepting new patients
Susquehanna Physician Services CurrentSince Mar 21, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince Jan 18, 2021 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Chenango Memorial Hospital, Inc. Internal Medicine CurrentSince Feb 25, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
North Medical PC Internal Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Mar 17, 2025 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Jan 17, 2020 Accepting new patients
Susquehanna Physician Services CurrentSince Mar 21, 2025 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
St Josephs Hospital Health Center CurrentSince Dec 7, 2025 Accepting new patients
Chenango Memorial Hospital Inc CurrentSince Feb 25, 2024 Accepting new patients
St. Joseph'S Pathology, PC Current Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

2055 E South Blvd
Ste 202
Montgomery, AL 36116
Phone (205) 366-1605

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

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

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

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

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

1015 Franklin St
Fl C
Johnstown, PA 15905
Phone (814) 534-1270

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

10 Shady Ln
Ste 180
Muncy, PA 17756
Phone (570) 321-3454

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

700 High St
#D
Williamsport, PA 17701
Phone (570) 321-3454

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: fmalik53245@direct.conemaugh.org
  • Direct secure messaging: fmalik850742@upmc.direct-ci.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 10

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": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1184078404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MITCHELL AVENUE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-772-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MITCHELL AVENUE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-772-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FAHAD",
        "middle_name": "IMTIAZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-22",
        "last_updated": "2025-03-27",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "38624",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "305406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fahad.i.malik@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.