Active NPI
Rajiv Mallik, M.D.
- Clinical Cardiac Electrophysiology Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 036-111879
- 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, 2021
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rajiv.mallik.p1@direct.cvmedpc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Trinity Rock Island
- Trinity - Bettendorf
- Hammond Henry Hospital
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Trinity Muscatine
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.95 of 100
- Quality
- 70.54
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 75.13
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-111879 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Unity Healthcare | Internal Medicine | Current | Accepting new patients |
| Unity Healthcare | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Cardiovascular Medicine PLLC | Cardiovascular Disease | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Unity Physician Clinics
- Internal Medicine Physician
- Muscatine, IA
- NPI 1629122742
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Critical Access Hospital
- Aledo, IL
- NPI 1225380967
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
dba CGH Medical Center-Morrison
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
dba CGH Medical Center-Main Clinic
- Family Medicine Physician
- Sterling, IL
- NPI 1548540636
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Unitypoint Clinic - Mulberry
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1447802400
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Hammond Henry Hospital
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.