NPIMap

Individual provider Active NPI

Muneeb S Malik, MD

  • Nephrology Physician
  • Frederick, MD
National Provider Identifier
1619900982
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0070470 Issued in MD
Practice address
140 Thomas Johnson Drive
Suite 202
Frederick, MD 21702
Phone
(301) 694-7788
Fax
(301) 694-3184
NPI assigned
Jul 9, 2006
Last updated
May 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT193580 PA
Internal Medicine Physician 207R00000X MD431551 PA
Internal Medicine Physician 207R00000X MD00040872 WA
Nephrology Physician 207RN0300X D0070470 MD Primary

Addresses

Primary practice location

140 Thomas Johnson Drive
Suite 202
Frederick, MD 21702

Mailing address

140 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4485
Phone (301) 694-7788

Other practice location 1

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600

Other identifiers 1

IdentifierTypeStateIssuer
0385221MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101130001191 MD Practitioner - Nephrology 3476581695 Reassigns benefits to 1 organization
I20230501001686 WV Practitioner - Nephrology 3476581695 Reassigns benefits to 1 organization
I20251024001278 PA Practitioner - Internal MedicinePractitioner - Nephrology 3476581695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otto Roza MD PAGroup PAC ID 4880596675, 10 clinicians

Practice addresses (Care Compare)

103 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-0911

121 Chambers Hill Dr
Suite 121
Chambersburg, PA 17201-7302
Phone (301) 797-9600

12931 Oak Hill Ave
Hagerstown, MD 21742-2914
Phone (301) 797-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
55.98 of 100Reported as group
Quality
67.88
Improvement activities
0
Cost
76.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD431551PAMDInternal Medicine Physician
MD00040872WAMDInternal Medicine Physician
D0070470MDMDNephrology Physician
MT193580PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Otto Roza M.D., P.a. Nephrology CurrentSince Aug 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12931 Oak Hill Ave
Hagerstown, MD 21742
Phone (301) 797-2311

121 Chambers Hill Dr
Ste 121
Chambersburg, PA 17201
Phone (301) 797-9600

27 Vista Dr
Waynesboro, PA 17268
Phone (301) 797-9600

103 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-0911

Interoperability endpoints

  • Direct secure messaging: mmalik347547@direct.wvuhsdirect.com
  • Direct secure messaging: mmalik41403@direct.acumenmd.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1619900982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DR STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024485",
            "telephone_number": "301-694-7788",
            "fax_number": "301-694-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-694-7788",
            "fax_number": "301-694-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12931 Oak Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422914",
            "country_code": "US",
            "telephone_number": "301-797-9600",
            "fax_number": "301-797-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MUNEEB",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT193580",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD431551",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00040872",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0070470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385221",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.