Individual provider Active NPI

Muhammad Fayaz Malik, MD

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
National Provider Identifier
1447284864
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
53353 Issued in TN
Practice address
1840 Medical Center Pkwy Ste 201
Murfreesboro, TN 37129-3237
Phone
(615) 867-5028
Fax
(615) 867-6650
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 53353 TN
Cardiovascular Disease Physician 207RC0000X 53353 TN Primary

Addresses

Primary practice location

1840 Medical Center Pkwy Ste 201
Murfreesboro, TN 37129-3237

Mailing address

1840 Medical Center Pkwy Ste 201
Murfreesboro, TN 37129-3237
Phone (615) 867-5028

Other identifiers 2

IdentifierTypeStateIssuer
103I065570OtherTNMEDICARE
Q017663MedicaidTN

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
I20151016000406 TN Practitioner - Cardiovascular Disease (Cardiology) 7214980788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

1559 Sparta St
McMinnville, TN 37110-1316
Phone (931) 815-4000

1700 Medical Ctr Pkwy
Murfreesboro, TN 37129-2245
Phone (615) 396-4685

1840 Medical Ctr Pkwy
Suite 201
Murfreesboro, TN 37129-3237
Phone (931) 393-7831

2000 Church St
Nashville, TN 37236-0001

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

4220 Harding Pike
Nashville, TN 37205-2005
Phone (615) 222-6977

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36100697ILMDFamily Medicine Physician
53353TNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Hospital Association Current Accepting new patients
Saint Thomas Medical Partners Cardiovascular Disease CurrentSince Oct 1, 2015 Accepting new patients
Heartcare Midwest Past Accepting new patients
St Joseph Medical Center Past Accepting new patients

Locations

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

1840 Medical Center Pkwy
Ste 201
Murfreesboro, TN 37129
Phone (615) 867-5028

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: muhammad.malik.1@7654.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1670976000000",
    "number": "1447284864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY STE 201",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293237",
            "telephone_number": "615-867-5028",
            "fax_number": "615-867-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEDICAL CENTER PKWY STE 201",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293237",
            "telephone_number": "615-867-5028",
            "fax_number": "615-867-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MUHAMMAD",
        "middle_name": "FAYAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "53353",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "53353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "103I065570",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q017663",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.