Individual provider Active NPI

Muhammad Owais Malik, MD

  • Nephrology Physician
  • Johnson City, TN
National Provider Identifier
1376910208
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD61128 Issued in TN
Practice address
107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287
Phone
(423) 929-7158
Fax
(423) 928-8925
NPI assigned
Aug 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD61128 TN Primary

Addresses

Primary practice location

107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287

Mailing address

107 Woodlawn Dr Ste 200
Johnson City, TN 37604-6287
Phone (423) 929-7158

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmalik25410@direct.acumenmd.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200901003466 TN Practitioner - Nephrology 4486958493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Tennessee Medical Associates, P.C.Group PAC ID 2062460009, 7 clinicians

Practice addresses (Care Compare)

107 Woodlawn Dr
Suite 200
Johnson City, TN 37604-6287
Phone 4239297158305

Hospital & facility affiliations

  • FMC Elizabethton Dialysis facility, Elizabethton, TN, CCN 442684
  • FMC Eastern Tennessee Dialysis facility, Greeneville, TN, CCN 442522
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Franklin Woods Community Hospital Hospital, Johnson City, TN, CCN 440184
  • Greeneville Community Hospital Hospital, Greeneville, TN, CCN 440050

Merit-based Incentive Payment System (MIPS)

Final score
88.22 of 100Reported as group
Quality
60.13
Promoting interoperability
100
Improvement activities
40
Cost
83.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD61128TNMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Medical Associates, P.C. Nephrology CurrentSince Jul 29, 2020 Accepting new patients

Locations

107 Woodlawn Dr
Ste 200
Johnson City, TN 37604
Phone (423) 929-7158

Interoperability endpoints

  • Direct secure messaging: mmalik25410@direct.acumenmd.com

Organizations & group practices 1

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 6

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1376910208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046287",
            "telephone_number": "423-929-7158",
            "fax_number": "423-928-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR STE 200",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046287",
            "telephone_number": "423-929-7158",
            "fax_number": "423-928-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MUHAMMAD OWAIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-26",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD61128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmalik25410@direct.acumenmd.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "107 Woodlawn Dr Ste 200",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376046287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.