NPIMap

Individual provider Active NPI

Iftikhar A Malik, M.D.

  • Gastroenterology Physician
  • Stockton, CA
National Provider Identifier
1548335185
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A382230 Issued in CA
Practice address
2800 N California St Ste 7
Stockton, CA 95204-3758
Phone
(209) 941-0791
Fax
(209) 941-0260
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A382230 CA Primary

Addresses

Primary practice location

2800 N California St Ste 7
Stockton, CA 95204-3758

Mailing address

2800 N California St Ste 7
Stockton, CA 95204-3758
Phone (209) 941-0791

Other identifiers 3

IdentifierTypeStateIssuer
100008936OtherCARAILROAD MEDICARE
00A382230OtherCACOMMERICAL INSURANCE
00A382230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110110000642 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7719176510 Practice locations: Stockton, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2800 N California St
Suite 7
Stockton, CA 95204-3758
Phone (209) 941-0791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as individual
Quality
87.08
Promoting interoperability
74
Improvement activities
40
Cost
89.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy598
Upper gastrointestinal (GI) endoscopy for acid reflux309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A382230CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: imalik13861@hpmg.direct-ci.net

Organizations & group practices 1

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 10

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1548335185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043758",
            "telephone_number": "209-941-0791",
            "fax_number": "209-941-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043758",
            "telephone_number": "209-941-0791",
            "fax_number": "209-941-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "IFTIKHAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A382230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100008936",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INSURANCE",
            "identifier": "00A382230",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A382230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.