Individual provider Active NPI

Adnan Malik, MD

  • Anesthesiology Physician
  • Waterbury, CT
National Provider Identifier
1447494752
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
51797 Issued in CT
Practice address
64 Robbins St
Waterbury, CT 06708-2613
Phone
(203) 573-6000
NPI assigned
Apr 30, 2009
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 051797 CT
Anesthesiology Physician 207L00000X 51797 CT Primary

Addresses

Primary practice location

64 Robbins St
Waterbury, CT 06708-2613

Mailing address

1 Peak LN
Hillsborough, NJ 08844-4089
Phone (732) 692-3024

Other practice location 1

1 Peak Ln
Hillsborough, NJ 08844-4089
Phone (732) 692-3024

Other practice location 2

20 York St
New Haven, CT 06510-3220
Phone (203) 785-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150413001877 CT Practitioner - Anesthesiology 4082932561 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Anesthesia CT PLLCGroup PAC ID 1759755416, 34 clinicians

Practice addresses (Care Compare)

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.75 of 100Reported as group
Quality
67.52
Promoting interoperability
95
Improvement activities
20
Cost
74.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051797CTMDAnesthesiology Physician
51797CTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Anesthesiology CurrentSince Aug 29, 2017 Accepting new patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince Feb 1, 2022 Accepting new patients
Stamford Anesthesiology Services, PC Anesthesiology CurrentSince Jan 12, 2015 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Anesthesiology CurrentSince Oct 21, 2024 Accepting new patients
Yale University CurrentSince Aug 29, 2017 Accepting new patients
Greater Connecticut Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 1, 2022 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Oct 5, 2024 Accepting new patients
Synergy Anesthesia CT PLLC Anesthesiology CurrentSince Feb 27, 2023 Accepting new patients
New England Anesthesia Associates, LLC Anesthesiology Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: amalik25103@stamfordhealth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1447494752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PEAK LN",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444089",
            "telephone_number": "732-692-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ROBBINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082613",
            "telephone_number": "203-573-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Peak Ln",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444089",
            "country_code": "US",
            "telephone_number": "732-692-3024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-785-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ADNAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "051797",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "51797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.