Renovar Wellness LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

RENOVAR WELLNESS LLC

Practice address

1750 Kilbourn St
Elkhart, IN 46514-1920

Phone

(574) 387-6260

NPI assigned

Dec 12, 2025

Organization subpart

No

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

Authorized official

Name

Abdul Malik, MDNPI 1952300584

Title

MD

Phone

(574) 849-5063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdul M Malik, M.D.

  • Neurology Physician
  • Traverse City, MI
  • NPI 1952300584

  IN, Psychiatry

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1588528699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-387-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KILBOURN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141920",
            "telephone_number": "574-387-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVAR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "574-849-5063",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Health Care Professionals Inc
• Mary Alice M Reid, MD
• Michael Joseph Reider, D.D.S.
• Jennesi Reina
• Renewed Hope Counseling, LLC
• Karen Renteria Sarmiento
• Brandon Replogle
• David William Replogle, M.S.W.
• Cara Reschly
• David Reser, MD

• Psychiatry Physician in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.