George Malki, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0069625 Issued in FL

Practice address

707 Platinum PT
Lake Mary, FL 32746-5702

Phone

(407) 878-0910

Fax

(407) 878-0911

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIBCAA

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.

• Florida Health Care Plan, Inc

  • Preferred Provider Organization
  • Daytona Beach, FL
  • NPI 1558302042
  Medicare reassignment Care Compare group
• Town Center Family Practice Inc

  • Primary Care Clinic/Center
  • Orange City, FL
  • NPI 1467148411
  NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1396705315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PLATINUM PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465702",
            "telephone_number": "407-878-0910",
            "fax_number": "407-878-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 PLATINUM PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465702",
            "telephone_number": "407-878-0910",
            "fax_number": "407-878-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKI",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0069625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258856100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28869",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Making a Difference ABA LLC
• Kylene Ilexis Malave
• Michal Malcolm, M.A
• Alex Emil Maldonado, LPTA
• Mahad Malik, MD
• Michael Warren Manchester, MA, NCC, LMHC
• Beverly Manda, M.A., ED.
• Sophia Mangonon, DMD
• Kimberly Mangum, APRN
• Shivali P Maniar, PA-C

• Family Medicine Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.

Verify at the official NPI Registry.