NPIMap

Individual provider Active NPI

Pervaiz A Malik

  • Interventional Cardiology Physician
  • Montgomery, AL
National Provider Identifier
1275530636
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
17259 Issued in AL
Practice address
185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone
(334) 387-0948
Fax
(334) 387-0956
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 17259 AL Primary

Addresses

Primary practice location

185 Mitylene Park LN
Montgomery, AL 36117-7302

Mailing address

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-0948

Other identifiers 1

IdentifierTypeStateIssuer
000002794MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000194 AL Practitioner - Cardiovascular Disease (Cardiology) 9133029119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Cardiology Associates, PCGroup PAC ID 3476568494, 3 clinicians

Practice addresses (Care Compare)

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-9900

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
95.85
Improvement activities
40
Cost
71.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17259ALMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Associates of Montgomery, P.C. Current Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 1, 2003 Accepting new patients
River Region Cardiology Associates, PC CurrentSince May 27, 2006 Accepting new patients
University of Alabama at Birmingham CurrentSince Oct 1, 2003 Accepting new patients

Locations

2055 E South Blvd
Ste 202
Montgomery, AL 36116
Phone (205) 366-1605

2055 E South Blvd
Ste 403
Montgomery, AL 36116
Phone (334) 286-5500

185 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 387-0948

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0
  • bcbs alabama network 01A0

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHAAA

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.

Hospital & facility affiliations 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1275530636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "PERVAIZ",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "17259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000002794",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.