Individual provider Active NPI

Humera E Malik, M.D.

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1295744381
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101226851 Issued in VA
Practice address
8321 Old Courthouse Rd
Ste 202
Vienna, VA 22182-3817
Phone
(703) 740-4577
Fax
(703) 448-1257
NPI assigned
Aug 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101226851 VA Primary

Addresses

Primary practice location

8321 Old Courthouse Rd
Ste 202
Vienna, VA 22182-3817

Mailing address

PO Box 5776
Arlington, VA 22205-0776
Phone (703) 740-4577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20040316000625 DC Practitioner - Internal Medicine 9436049327 Reassigns benefits to 1 organization
I20160222001899 VA Practitioner - Internal Medicine 9436049327 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226851VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Aug 30, 2014 Accepting new patients
Inova Health Care Services CurrentSince Aug 30, 2014 Accepting new patients
Potomac Health & Wellness (PHW), Inc CurrentSince Aug 14, 2022 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Prohealthcare, LLC Internal Medicine Past Accepting new patients
Fairfax Internal Medicine Associates, PC Internal Medicine PastSince Nov 27, 2011 Accepting new patients

Locations

3263 Columbia Pike
Arlington, VA 22204
Phone (703) 746-0111

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

6845 Elm St
Ste 309
McLean, VA 22101

8321 Old Courthouse Rd
Ste 202
Vienna, VA 22182
Phone (703) 740-4577

Interoperability endpoints

  • Direct secure messaging: hmalik@phaw-va.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1295744381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5776",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222050776",
            "telephone_number": "703-740-4577",
            "fax_number": "703-448-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 OLD COURTHOUSE RD",
            "address_2": "STE 202",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823817",
            "telephone_number": "703-740-4577",
            "fax_number": "703-448-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "HUMERA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101226851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.