Active NPI
Shahid Shafiq Malik, M.D.
- Cardiovascular Disease Physician
- Ruskin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME 47456
- Practice address
- 733 Cortaro Dr
Ruskin, FL 33573-6812 - Phone
- (813) 633-9700
- Fax
- (813) 633-9733
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME 47456 | FL | Primary |
Addresses
Primary practice location
733 Cortaro Dr
Ruskin, FL 33573-6812
Mailing address
17935 Cachet Isle Dr
Tampa, FL 33647-2703
Phone (813) 633-9700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00264250 | Other | FL | RAILROAD MEDICARE |
| 051335100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
620 Eichenfeld Dr
Brandon, FL 33511-5973
Phone (813) 633-9700
Hospital & facility affiliations
- HCA Florida South Shore Hospital
- St Josephs Hospital
- HCA Florida Brandon Hospital
- Adventhealth Tampa
- H Lee Moffitt Cancer Center & Research Institute I
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 29 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 47456 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Cardiology | Cardiovascular Disease | Current | Accepting new patients |
| Check My Heart LLC | Cardiovascular Disease | Current | Accepting new patients |
| Florida Medical Clinic, LLC | Past | Accepting new patients |
Locations
620 Eichenfeld Dr
Brandon, FL 33511
Phone (813) 633-9700
733 Cortaro Dr
Sun City Center, FL 33573
Phone (813) 633-9700
129 S Pebble Beach Blvd
Ste 201
Sun City Center, FL 33573
Phone (813) 392-2164
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- shahid.malik@northsidecard.directbygreenway.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Ruskin, FL
- NPI 1891882007
-
- Cardiovascular Disease Physician
- Ruskin, FL
- NPI 1083203707
-
- Pharmacy
- Zephyrhills, FL
- NPI 1669548020
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
- Special Hospital
- Tampa, FL
- NPI 1780653618
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1306866058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17935 CACHET ISLE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472703",
"telephone_number": "813-633-9700",
"fax_number": "813-633-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 CORTARO DR",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335736812",
"telephone_number": "813-633-9700",
"fax_number": "813-633-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "SHAHID",
"middle_name": "SHAFIQ",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME 47456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00264250",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051335100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.