Active NPI
Malik M Malik, MBBS
- Pulmonary Disease Physician
- Winder, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 91665
- Practice address
- 30 Satellite Dr Ste 200
Winder, GA 30680-6211 - Phone
- (770) 586-0300
- NPI assigned
- May 15, 2014
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Internal Medicine Physician | 207R00000X | D0081834 | MD | |
| Pulmonary Disease Physician | 207RP1001X | 91665 | GA | Primary |
Addresses
Primary practice location
30 Satellite Dr Ste 200
Winder, GA 30680-6211
Mailing address
30 Satellite Dr Ste 200
Winder, GA 30680-6211
Phone (770) 586-0300
Other practice location 1
500 Upper Chesapeake Dr
Adult Hospitalist Dept
Bel Air, MD 21014-4324
Phone (443) 643-1500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmalik140965@nghs.gadirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352
2075 Hamilton Creek Pkwy
Suite 200
Dacula, GA 30019-7285
Phone 7705860300320
316 N Broad St
Winder, GA 30680-2150
Phone (770) 307-5400
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Piedmont Walton Hospital
- NGMC Barrow, LLC
- Piedmont Eastside Medical Center
- Piedmont Athens Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0081834 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary and Sleep Specialists of Northeast Georgia, PC | Internal Medicine | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
| Pulmonary and Sleep Specialists of Piedmont Northeast | Pulmonary Disease | Current | Accepting new patients |
| Sleep Telehealth | Pulmonary Disease | Past | Accepting new patients |
Locations
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
2075 Hamilton Creek Pkwy
Ste 200
Dacula, GA 30019
Phone (770) 586-0300
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
2151 W Spring St
Ste B110
Monroe, GA 30655
Phone (770) 267-1895
1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300
20 Satellite Dr
Ste 200
Winder, GA 30680
Phone (678) 963-0939
30 Satellite Dr
Ste 200
Winder, GA 30680
Phone (770) 586-0300
316 N Broad St
Winder, GA 30680
Phone (770) 307-5354
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JADJAA
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Internal Medicine
-
dba Pulmonary and Sleep Medicine Center of Winder
- Pulmonary Disease Physician
- Winder, GA
- NPI 1194048561
Internal Medicine
-
- Pulmonary Disease Physician
- Dacula, GA
- NPI 1922844570
-
- Sleep Medicine (Internal Medicine) Physician
- Dacula, GA
- NPI 1114782190
Pulmonary Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Eastside Medical Center
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- General Acute Care Hospital
- Monroe, GA
- NPI 1720589328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1215348990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SATELLITE DR STE 200",
"city": "WINDER",
"state": "GA",
"postal_code": "306806211",
"telephone_number": "770-586-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SATELLITE DR STE 200",
"city": "WINDER",
"state": "GA",
"postal_code": "306806211",
"telephone_number": "770-586-0300"
}
],
"practiceLocations": [
{
"address_1": "500 Upper Chesapeake Dr",
"address_2": "Adult Hospitalist Dept",
"address_purpose": "LOCATION",
"city": "Bel Air",
"state": "MD",
"postal_code": "210144324",
"country_code": "US",
"telephone_number": "443-643-1500",
"fax_number": "443-643-1505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "MALIK",
"middle_name": "M",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-15",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0081834",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "91665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmalik140965@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "30 Satellite Dr Ste 200",
"city": "Winder",
"state": "GA",
"country_code": "US",
"postal_code": "306806211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winder, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.