Active NPI
Malick G Islam, MD, FACC
- Internal Medicine Physician
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0090447
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
- Carroll Hospital Center
- Sinai Hospital of Baltimore
- University of MD St Joseph Medical Center
- Umd Rehabilitation & Orthopaedic Institute
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.16 of 100
- Quality
- 75.05
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.82
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.94 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0011611 | DE | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Apex Healthcare, LLC | Current | Accepting new patients | |
| Apex Healthcare, LLC | Internal Medicine | Current | Accepting new patients |
| Carroll Health Group, LLC | Internal Medicine | Current | Accepting new patients |
| Sinai Hospital of Baltimore Inc | Internal Medicine | Current | Accepting new patients |
| University of Maryland Baltimore Washington Heart Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
| Sinai Hospital of Baltimore Inc | Current | Accepting new patients | |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Medstar Heart Institute LLC | Cardiovascular Disease | Current | Accepting new patients |
| Apex Healthcare, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| University of Maryland Community Medical Group, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Towson, MD
- NPI 1144973124
-
- Internal Medicine Physician
- Westminster, MD
- NPI 1437473550
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
-
- Surgery Physician
- Washington, DC
- NPI 1528345378
Cardiovascular Disease, MD
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Cardiovascular Disease Physician
- Glen Burnie, MD
- NPI 1972084507
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Pulmonary Disease Physician
- Towson, MD
- NPI 1760368724
-
- Cardiovascular Disease Physician
- Towson, MD
- NPI 1891507240
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Cardiovascular Disease Physician
- Baltimore, MD
- NPI 1255356879
Internal Medicine
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1912904210
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1841337805
-
- General Acute Care Hospital
- Randallstown, MD
- NPI 1487695888
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487325874
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.