Individual provider Active NPI

Ali Shaukat Malik, MD

  • Rheumatology Physician
  • Winston Salem, NC
National Provider Identifier
1275096067
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2024-03234 Issued in NC
Practice address
2032 Salem Bluff Dr
Winston Salem, NC 27127-4075
Phone
(484) 388-1827
NPI assigned
Apr 9, 2019
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X RTL20-1126 NC
Student in an Organized Health Care Education/Training Program 390200000X
Rheumatology Physician 207RR0500X 2024-03234 NC Primary

Addresses

Primary practice location

2032 Salem Bluff Dr
Winston Salem, NC 27127-4075

Mailing address

2800 Main Street
Dept. of Medicine
Bridgeport, CT 06606
Phone (475) 210-5791

Other practice location 1

1551 Westbrook Plaza Dr Ste 200
Winston Salem, NC 27103-1355
Phone (336) 896-1477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250313000681 NC Practitioner - Internal MedicinePractitioner - Rheumatology 0042731523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-4380

1551 Westbrook Plaza Dr
Suite 200
Winston Salem, NC 27103-1355
Phone (336) 896-1477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024-03234NCMDRheumatology Physician
RTL20-1126NCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Thomasville Medical Center LLC CurrentSince Nov 11, 2024 Accepting new patients
Novant Health Thomasville Medical Center, LLC Rheumatology CurrentSince Nov 11, 2024 Accepting new patients
Novant Health Thomasville Medical Center, LLC Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 2, 2025 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 896-1477

Interoperability endpoints

  • Direct secure messaging: amalik1639707@direct.novanthealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1275096067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAIN STREET",
            "address_2": "DEPT. OF MEDICINE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "475-210-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 SALEM BLUFF DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274075",
            "telephone_number": "484-388-1827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Westbrook Plaza Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031355",
            "country_code": "US",
            "telephone_number": "336-896-1477",
            "fax_number": "336-896-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ALI",
        "middle_name": "SHAUKAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "RTL20-1126",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "2024-03234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.