Individual provider Active NPI

Safiullah M Malik, MD FACS

  • Surgery Physician
  • Olean, NY
National Provider Identifier
1194805713
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1584811 Issued in NY
Practice address
2223 W State St
Suite 109
Olean, NY 14760-1938
Phone
(716) 372-3474
Fax
(716) 372-4370
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1584811 NY Primary
Vascular Surgery Physician 2086S0129X 1584811 NY

Addresses

Primary practice location

2223 W State St
Suite 109
Olean, NY 14760-1938

Mailing address

2223 W State St
Suite 109
Olean, NY 14760-1938
Phone (716) 372-3474

Other identifiers 3

IdentifierTypeStateIssuer
000500459D01OtherNYCOMMUNITY BLUE
00891603MedicaidNY
10109701OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000624 NY Practitioner - General SurgeryPractitioner - Vascular Surgery 4981870789 Reassigns benefits to 1 organization
Practice locations: Olean, NY

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olean General HospitalGroup PAC ID 9133111784, 78 clinicians

Practice addresses (Care Compare)

515 Main St
Olean, NY 14760-1513
Phone (716) 375-6993

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Pacemaker insertion or repair1-10
Melanoma (skin cancer) excision12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1584811NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince Jul 1, 2019 Accepting new patients
Olean General Hospital Surgery Current Accepting new patients
Olean General Hospital Surgery Past Accepting new patients

Locations

515 Main St
Olean, NY 14760
Phone (716) 373-2600

623 Main St
Olean, NY 14760
Phone (716) 372-4212

515 Main St
#13282
Olean, NY 14760
Phone (716) 375-6993

4039 Route 219
Ste 101
Salamanca, NY 14779
Phone (716) 945-0361

Interoperability endpoints

  • Direct secure messaging: safiullahmalik@healthsystemphysicianpc.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1194805713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "SUITE 109",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-372-3474",
            "fax_number": "716-372-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 W STATE ST",
            "address_2": "SUITE 109",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601938",
            "telephone_number": "716-372-3474",
            "fax_number": "716-372-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SAFIULLAH",
        "middle_name": "M",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "1584811",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "1584811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000500459D01",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00891603",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "10109701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.