Individual provider Active NPI

Shahid Shafiq Malik, M.D.

  • Cardiovascular Disease Physician
  • Ruskin, FL
National Provider Identifier
1306866058
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME 47456 Issued in FL
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

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00264250OtherFLRAILROAD MEDICARE
051335100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001323 FL Practitioner - Cardiovascular Disease (Cardiology) 8729051701 Reassigns benefits to 1 organization

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 47456FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Cardiology Cardiovascular Disease CurrentSince Mar 17, 2005 Accepting new patients
Check My Heart LLC Cardiovascular Disease CurrentSince Jan 24, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.