Individual provider Active NPI

Malick G Islam, MD, FACC

  • Internal Medicine Physician
  • Lewes, DE
National Provider Identifier
1265663124
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0090447 Issued in MD
Practice address
34453 King Street Row
Ste 2
Lewes, DE 19958-4787
Phone
(302) 644-7676
Fax
(302) 644-4876
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X C1-0011611 DE
Internal Medicine Physician 207R00000X D0090447 MD Primary
Cardiovascular Disease Physician 207RC0000X C1-0011611 DE

Addresses

Primary practice location

34453 King Street Row
Ste 2
Lewes, DE 19958-4787

Mailing address

34453 King Street Row
Ste 2
Lewes, DE 19958-4787
Phone (302) 644-7676

Other practice location 1

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210111001350 MD Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 2860701166 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians
Sinai Hospital of Baltimore, IncGroup PAC ID 0941112346, 373 clinicians
Apex Healthcare LLCGroup PAC ID 9032503677, 14 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

5051 Greenspring Ave
Suite 304
Baltimore, MD 21209-4358
Phone (410) 601-9600

7801 York Rd
Suite 240
Towson, MD 21204-7442
Phone (410) 500-9182

Hospital & facility affiliations

  • Northwest Hospital Center Hospital, Randallstown, MD, CCN 210040
  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033
  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0011611DEMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 26, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2021 Accepting new patients
Apex Healthcare, LLC CurrentSince May 1, 2025 Accepting new patients
Apex Healthcare, LLC Internal Medicine Current Accepting new patients
Carroll Health Group, LLC Internal Medicine CurrentSince May 25, 2024 Accepting new patients
Sinai Hospital of Baltimore Inc Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
University of Maryland Baltimore Washington Heart Associates LLC Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Mar 1, 2024 Accepting new patients
Apex Healthcare, LLC Cardiovascular Disease CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 26, 2024 Accepting new patients
Cardiology Physicians, LLC Cardiovascular Disease Past Accepting new patients

Locations

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

5051 Greenspring Ave
Ste 304
Baltimore, MD 21209
Phone (410) 367-2590

6000 Bellona Ave
Baltimore, MD 21212
Phone (410) 323-4223

3333 N Calvert St
Ste 500
Baltimore, MD 21218
Phone (410) 366-5600

2401 W Belvedere Ave
Baltimore, MD 21215

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

7845 Oakwood Rd
Ste 106
Glen Burnie, MD 21061
Phone (410) 760-5100

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

8720 Emge Rd
Parkville, MD 21234
Phone (410) 668-1961

7801 York Rd
Ste 240
Towson, MD 21204
Phone (410) 323-9214

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Interoperability endpoints

  • Direct secure messaging: mislam166476@direct.umm.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1265663124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34453 KING STREET ROW",
            "address_2": "STE 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-7676",
            "fax_number": "302-644-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34453 KING STREET ROW",
            "address_2": "STE 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584787",
            "telephone_number": "302-644-7676",
            "fax_number": "302-644-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Memorial Ave",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575726",
            "country_code": "US",
            "telephone_number": "410-848-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "MALICK",
        "middle_name": "G",
        "credential": "MD, FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "DE",
            "license": "C1-0011611",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0090447",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1-0011611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.