Individual provider Active NPI

Pareesa Malik

  • Dentist
  • Baltimore, MD
National Provider Identifier
1417524810
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17537 Issued in MD
Practice address
University of Maryland
650 W Baltimore St, Suite 5201
Baltimore, MD 21201
Phone
(667) 225-2771
NPI assigned
Jun 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17537 MD Primary

Addresses

Primary practice location

University of Maryland
650 W Baltimore St, Suite 5201
Baltimore, MD 21201

Mailing address

University of Maryland
650 W Baltimore St, Suite 5201
Baltimore, MD 21201
Phone (667) 225-2771

Other practice location 1

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

Other practice location 2

1111 Washington Blvd
Baltimore, MD 21230-1824
Phone (410) 383-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 2, 2026 through Apr 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc CurrentSince Apr 24, 2023 Accepting new patients
Total Health Care Inc Current Accepting new patients
Total Health Care Inc. CurrentSince Apr 24, 2023 Accepting new patients

Locations

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1417524810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MARYLAND",
            "address_2": "650 W BALTIMORE ST, SUITE 5201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "667-225-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MARYLAND",
            "address_2": "650 W BALTIMORE ST, SUITE 5201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "667-225-2771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Division St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212173121",
            "country_code": "US",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212301824",
            "country_code": "US",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "PAREESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.