Individual provider Active NPI

Javed Malik, M.D.

  • Internal Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1487652350
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23472 Issued in AZ
Practice address
3015 Highway 95
Suite 105
Bullhead City, AZ 86442-4334
Phone
(928) 763-2001
Fax
(928) 763-2038
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 23472 AZ
Internal Medicine Physician 207R00000X 23472 AZ Primary

Addresses

Primary practice location

3015 Highway 95
Suite 105
Bullhead City, AZ 86442-4334

Mailing address

3015 Highway 95 Ste 105
Bullhead City, AZ 86442-4334
Phone (928) 763-2001

Other practice location 1

3015 Highway 95 Ste 106
Bullhead City, AZ 86442-4334
Phone (928) 201-0881

Other identifiers 3

IdentifierTypeStateIssuer
AZ0867020OtherAZBLUE CROSS BLUE SHIELD
323171MedicaidAZ
6976108OtherAZHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040812000909 AZ Practitioner - Internal Medicine 8729063557 Reassigns benefits to 2 organizations
I20201216001386 NV Practitioner - Internal Medicine 8729063557

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2585 Miracle Mile
Bullhead City, AZ 86442-7522

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Arizona LLC CurrentSince Mar 31, 2016 Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC CurrentSince Mar 31, 2016 Accepting new patients
Desert Palms Medical Associates Inc Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Prescott Healthcare Solutions LLC CurrentSince Jun 17, 2024 Accepting new patients
Bullhead City Hospital Corporation Past Accepting new patients

Locations

3015 Highway 95
Ste 106
Bullhead City, AZ 86442
Phone (928) 758-9500

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

3015 Highway 95
Ste 105
Bullhead City, AZ 86442
Phone (928) 763-2001

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

Interoperability endpoints

  • Direct secure messaging: jmalik@yourcarecommunity.org

Organizations & group practices 6

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 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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1487652350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95 STE 105",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-2001",
            "fax_number": "928-763-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HIGHWAY 95",
            "address_2": "SUITE 105",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864424334",
            "telephone_number": "928-763-2001",
            "fax_number": "928-763-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 Highway 95 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864424334",
            "country_code": "US",
            "telephone_number": "928-201-0881",
            "fax_number": "928-763-2230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "JAVED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "23472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "23472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0867020",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323171",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "6976108",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.