Active NPI
Abdul Malike, DNP, FNP-BC
- Family Nurse Practitioner
- Lorton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024180291
- Practice address
- 8010 George Fox PL
Lorton, VA 22079-2347 - Phone
- (703) 819-4313
- NPI assigned
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024180291 | VA | Primary |
Addresses
Primary practice location
8010 George Fox PL
Lorton, VA 22079-2347
Mailing address
8010 George Fox PL
Lorton, VA 22079-2347
Phone (703) 819-4313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201109003127 | VA | Practitioner - Nurse Practitioner | 3779993498 | Reassigns benefits to 1 organization |
| I20240809002657 | DC | Practitioner - Nurse Practitioner | 3779993498 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- National Capital Treatment and Recovery
Practice addresses (Care Compare)
521 N Quincy St
Arlington, VA 22203-2136
Phone 70384107033005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024180291 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Capital Treatment and Recovery-Maryland | Family | Current | Accepting new patients |
| Carelon Medical Partners, PC | Current | Accepting new patients | |
| Passionate Nurse Practitioner Services LLC | Family | Current | Accepting new patients |
| National Capital Treatment and Recovery | Current | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
521 N Quincy St
Arlington, VA 22203
200 N Glebe Rd
Ste 104
Arlington, VA 22203
919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904
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 and National Provider Directory roles.
-
- Substance Abuse Rehabilitation Facility
- Arlington, VA
- NPI 1558415968
DC
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
VA
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Baltimore, MD
- NPI 1528740628
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1245839497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8010 GEORGE FOX PL",
"city": "LORTON",
"state": "VA",
"postal_code": "220792347",
"telephone_number": "703-819-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 GEORGE FOX PL",
"city": "LORTON",
"state": "VA",
"postal_code": "220792347",
"telephone_number": "703-819-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIKE",
"first_name": "ABDUL",
"credential": "DNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024180291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lorton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.