Organization Active NPI

KM Allergy and Asthma Center, LLC

  • Internal Medicine Physician
  • Lansdale, PA
National Provider Identifier
1558459107
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KM ALLERGY AND ASTHMA CENTER, LLC
Practice address
601 E Main St Ste 3
Lansdale, PA 19446-2947
Phone
(215) 361-5070
Fax
(215) 412-4811
NPI assigned
Oct 10, 2006
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Dr. Khalil M Malik, MDNPI 1699730572
Title
Owner
Phone
(215) 361-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

601 E Main St Ste 3
Lansdale, PA 19446-2947

Mailing address

601 E Main St Ste 3
Lansdale, PA 19446-2947
Phone (215) 361-5070

Other identifiers 1

IdentifierTypeStateIssuer
0010478250002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000478 PA Part B Supplier - Clinic/Group Practice 8921273103 Receives reassigned benefits from 1 practitioner
Practice locations: Lansdale, PA

National Provider Directory

National Provider Directory

Locations

1037 S Broad St
Lansdale, PA 19446
Phone (215) 361-5070

601 E Main St
Ste 3
Lansdale, PA 19446
Phone (215) 361-5070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1558459107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 3",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462947",
            "telephone_number": "215-361-5070",
            "fax_number": "215-412-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 3",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462947",
            "telephone_number": "215-361-5070",
            "fax_number": "215-412-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM ALLERGY AND ASTHMA CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-361-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010478250002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.