Individual provider Active NPI

Ameen Abdulmalik, M.D

  • Interventional Cardiology Physician
  • Monroe, MI
National Provider Identifier
1578767950
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301078156 Issued in MI
Practice address
465 N Telegraph Rd
Monroe, MI 48162-3334
Phone
(734) 242-8880
Fax
(734) 384-0139
NPI assigned
Jun 12, 2007
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301078156 MI
Interventional Cardiology Physician 207RI0011X 4301078156 MI Primary

Addresses

Primary practice location

465 N Telegraph Rd
Monroe, MI 48162-3334

Mailing address

15150 Fort St
Southgate, MI 48195-1302
Phone (734) 282-4800

Other practice location 1

3022 Dix Hwy
Lincoln Park, MI 48146-2591
Phone (313) 908-9699

Other practice location 2

3022 Dix Hwy
Lincoln Park, MI 48146-2591
Phone (313) 908-9699

Other identifiers 5

IdentifierTypeStateIssuer
11783199OtherMICAQH
1578767950OtherMIBCBS TYPE 1 NPI
1578767950MedicaidMI
AA078156OtherMIMI STATE MEDICAL LICENSE
4301078156OtherMISTATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20071010000076 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133215965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Wyandotte HospitalGroup PAC ID 2264334499, shared by 9 NPIs, 194 clinicians
Advanced Heart and Vascular Care PLLCGroup PAC ID 0941509806, 5 clinicians

Practice addresses (Care Compare)

2070 Biddle Ave
Wyandotte, MI 48192-4080

23050 W Rd
Brownstown TWP, MI 48183-1470

23050 W Rd
Brownstown TWP, MI 48183-1472
Phone (734) 287-9880

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

465 N Telegraph Rd
Monroe, MI 48162-3334
Phone (734) 242-8880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11
Pacemaker insertion or repair40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301078156MIMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Wyandotte Hospital CurrentSince Aug 1, 2010 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Henry Ford Wyandotte Hospital Cardiovascular Disease CurrentSince Jan 1, 2024 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Aug 1, 2010 Accepting new patients

Locations

23050 West Rd
Ste 120
Brownstown Twp, MI 48183
Phone (734) 671-1510

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: aabdulmalik1221840@epic00.shdirect.org
  • Direct secure messaging: aabdulmalik56684@direct.hfhs.org

Organizations & group practices 5

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 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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1578767950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951302",
            "telephone_number": "734-282-4800",
            "fax_number": "734-282-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623334",
            "telephone_number": "734-242-8880",
            "fax_number": "734-384-0139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3022 Dix Hwy",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481462591",
            "country_code": "US",
            "telephone_number": "313-908-9699",
            "fax_number": "313-908-9524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3022 Dix Hwy",
            "address_purpose": "LOCATION",
            "city": "Lincoln Park",
            "state": "MI",
            "postal_code": "481462591",
            "country_code": "US",
            "telephone_number": "313-908-9699",
            "fax_number": "734-228-3452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULMALIK",
        "first_name": "AMEEN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301078156",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301078156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11783199",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TYPE 1 NPI",
            "identifier": "1578767950",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578767950",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI STATE MEDICAL LICENSE",
            "identifier": "AA078156",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "4301078156",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.