Individual provider Active NPI

Jawad Abdul Malik, DPM

  • Podiatrist
  • Orlando, FL
National Provider Identifier
1225469190
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3628 Issued in FL
Practice address
710 Governors Ave
Orlando, FL 32808-7640
Phone
(407) 913-3965
Fax
(407) 290-8464
NPI assigned
Dec 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3628 FL Primary

Addresses

Primary practice location

710 Governors Ave
Orlando, FL 32808-7640

Mailing address

710 Governors Ave
Orlando, FL 32808-7640
Phone (407) 913-3965

Other practice location 1

7758 Wallace Rd Ste 6
Orlando, FL 32819-7217
Phone (407) 913-3965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150317000614 FL Practitioner - Podiatry 8022335892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

710 Governors Ave
Orlando, FL 32808-7640
Phone (407) 913-3965

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of nail tissue139
Removal or shaving of skin growth150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a. Malik, D.P.M., P.a. CurrentSince Jan 28, 2015 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince May 1, 2020 Accepting new patients

Locations

7758 Wallace Rd
#67
Orlando, FL 32819

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

710 Governors Ave
Orlando, FL 32808
Phone (407) 299-9717

7758 Wallace Rd
Ste 6
Orlando, FL 32819
Phone (407) 351-0082

Interoperability endpoints

  • Direct secure messaging: jawad.malik.1@13523.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1225469190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 GOVERNORS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087640",
            "telephone_number": "407-913-3965",
            "fax_number": "407-290-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 GOVERNORS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087640",
            "telephone_number": "407-913-3965",
            "fax_number": "407-290-8464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7758 Wallace Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197217",
            "country_code": "US",
            "telephone_number": "407-913-3965",
            "fax_number": "407-290-8464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "JAWAD",
        "middle_name": "ABDUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.