Individual provider Active NPI

Rajiv Mallik, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Moline, IL
National Provider Identifier
1285806935
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036-111879 Issued in IL
Practice address
1100 36TH Avenue
Moline, IL 61265
Phone
(309) 743-6700
Fax
(309) 764-2042
NPI assigned
Apr 1, 2008
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-111879 IL
Cardiovascular Disease Physician 207RC0000X 036-111879 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 036-111879 IL Primary

Addresses

Primary practice location

1100 36TH Avenue
Moline, IL 61265

Mailing address

1236 E Rusholme St
Ste 300
Davenport, IA 52803-2434
Phone (563) 324-2992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajiv.mallik.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120504000576 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Cardiac Surgery 3274694526 Reassigns benefits to 5 organizations
I20161109002046 IA Practitioner - Cardiac Electrophysiology 3274694526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians
Unity HealthcareGroup PAC ID 8224931548, 65 clinicians
Trinity Medical CenterGroup PAC ID 2264337518, 97 clinicians
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

1236 E Rusholme St
Davenport, IA 52803-2473
Phone (563) 324-2992

1518 Mulberry Ave
Muscatine, IA 52761-3433

210 W Elk St
Geneseo, IL 61254-1067
Phone (309) 944-4625

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-111879ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Genesis Medical Center, Aledo Current Accepting new patients
Genesis Health System CurrentSince Aug 5, 2016 Accepting new patients
CGH Medical Center CurrentSince Feb 18, 2019 Accepting new patients
Unity Healthcare CurrentSince Oct 17, 2016 Accepting new patients
CGH Medical Center CurrentSince Feb 18, 2019 Accepting new patients
Unity Healthcare Internal Medicine Current Accepting new patients
Unity Healthcare CurrentSince Oct 17, 2016 Accepting new patients
CGH Medical Center Current Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Aug 15, 2016 Accepting new patients
Kennett Hma Physician Management, LLC Internal Medicine Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2525 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 786-3536

2560 24th St
Ste 103
Rock Island, IL 61201
Phone (309) 779-3340

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rmallik92352@direct.unitypoint.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1285806935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032434",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 36TH AVENUE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIK",
        "first_name": "RAJIV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-111879",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036-111879",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036-111879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajiv.mallik.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1100 36th Avenue",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.