Mohammad Umair Malik, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042.0012944 Issued in VT

Practice address

186 Medical Village Dr
North Country Primary Care
Newport, VT 05855-8537

Phone

(802) 334-4121

NPI assigned

Jun 24, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Merit-based Incentive Payment System (MIPS)

Final score

83.39 of 100Reported as group

Quality

72.51

Promoting interoperability

100

Improvement activities

40

Cost

55.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: muhammadumairmalik@337359566012420.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1184910341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILLAGE DR",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558537",
            "telephone_number": "802-334-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL VILLAGE DR",
            "address_2": "NORTH COUNTRY PRIMARY CARE",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058558537",
            "telephone_number": "802-334-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MOHAMMAD",
        "middle_name": "UMAIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042.0012944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mohammad.malik.1@15991.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "186 Medical Village Dr",
            "address_2": "North Country Primary Care",
            "city": "Newport",
            "state": "VT",
            "country_code": "US",
            "postal_code": "058558537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Living Well Nek LLC
• Margaret J Loriot, MSW
• Eric Alan Lucier, LCMHC
• Inga Luebkeman, MA
• Carleigh Lyon
• Zuhaib Jaffer Malik
• Pavel Malm, LCMHC
• Christine Anne Manchester, PT
• Danielle Constance Mandigo
• Gabrielle Marcotte

• Family Medicine Physician in Newport, VT
• Providers in Newport, VT by specialty
• Family Medicine Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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; Opt Out Affidavits.
• 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.

Verify at the official NPI Registry.