NPIMap

Individual provider Active NPI

Abdus Salam Malik, MD

  • Nephrology Physician
  • Circleville, OH
National Provider Identifier
1497747695
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
350655606 Issued in OH
Practice address
1171 N Court St
Circleville, OH 43113-1303
Phone
(740) 808-0700
Fax
(740) 477-1315
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 350655606 OH Primary

Addresses

Primary practice location

1171 N Court St
Circleville, OH 43113-1303

Mailing address

PO Box 340
Canal Winchester, OH 43110-0340
Phone (740) 808-0700

Other practice location 1

135 N Ewing St
Lancaster, OH 43130-3382
Phone (740) 808-0700

Other identifiers 1

IdentifierTypeStateIssuer
0937240MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000171 OH Practitioner - NephrologyPractitioner - Internal Medicine 0446259998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1171 N Court St
Circleville, OH 43113-1303
Phone (614) 456-6094

Hospital & facility affiliations

  • Pickaway Dialysis Center Dialysis facility, Circleville, OH, CCN 362697
  • Fairfield Kidney Center Dialysis facility, Lancaster, OH, CCN 362693
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072
  • Berger Hospital Hospital, Circleville, OH, CCN 360170
  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330
  • Ohiohealth O'Bleness Hospital Hospital, Athens, OH, CCN 360014
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
27.09 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350655606OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 2

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 8

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1497747695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431100340",
            "telephone_number": "740-808-0700",
            "fax_number": "740-654-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131303",
            "telephone_number": "740-808-0700",
            "fax_number": "740-477-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303382",
            "country_code": "US",
            "telephone_number": "740-808-0700",
            "fax_number": "740-477-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "ABDUS",
        "middle_name": "SALAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "350655606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0937240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.