NPIMap

Individual provider Active NPI

Jeffrey Tariq Malik, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Des Moines, IA
National Provider Identifier
1376577908
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
40247 Issued in IA
Practice address
1212 Pleasant St
Suite #LL3
Des Moines, IA 50309-1414
Phone
(515) 240-6160
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 40247 IA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 15593 HI

Addresses

Primary practice location

1212 Pleasant St
Suite #LL3
Des Moines, IA 50309-1414

Mailing address

1212 Pleasant St
Suite #LL3
Des Moines, IA 50309-1414
Phone (515) 240-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120530000433 IA Practitioner - Pathology 5092848069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Laboratory Consultants PC 12 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-8861

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Merit-based Incentive Payment System (MIPS)

Final score
92.56 of 100Reported as group
Quality
81.02
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40247IAMDClinical Pathology/Laboratory Medicine Physician
15593HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 1, 2015 Accepting new patients
Broadlawns Medical Center Current Accepting new patients
Regional Laboratory Consultants PC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2012 Accepting new patients
Clinical Laboratories of Hawaii LLP Past Accepting new patients

Locations

1212 Pleasant St
Ste LL3
Des Moines, IA 50309
Phone (515) 241-8861

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1200 Pleasant St
Ste LL3
Des Moines, IA 50309

Interoperability endpoints

  • Direct secure messaging: jmalik84445@uihcdirect.org

Organizations & group practices 5

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1376577908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "SUITE #LL3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091414",
            "telephone_number": "515-240-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "SUITE #LL3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091414",
            "telephone_number": "515-240-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "JEFFREY",
        "middle_name": "TARIQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "IA",
            "license": "40247",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "HI",
            "license": "15593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.