Shahla Mallick, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35070787 Issued in OH

Practice address

379 Dixmyth Ave
Ste N
Cincinnati, OH 45220-2475

Phone

(513) 246-7000

Fax

(513) 246-7590

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Pulmonary Disease

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
• Bethesda North Hospital, Cincinnati, OH, CCN 360179
• McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smallick362@direct.trihealth.com

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.

• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  Medicare reassignment Care Compare group
• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944

  Pulmonary Disease

  Medicare reassignment NPD
• Trihealth G, LLC

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD
• Diagnostic Cardiologists Inc.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1033109566
  NPD (past)
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1508835828
  NPD (past)
• Trihealth Physician Institute

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1922051697
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• McCullough-Hyde Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Oxford, OH
  • NPI 1245216183
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1457964041
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Montgomery, OH
  • NPI 1477166064
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1508835828
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1740893320
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1851904445
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1629025804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "address_2": "SUITE C",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-853-4721",
            "fax_number": "513-852-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 DIXMYTH AVE",
            "address_2": "STE N",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-246-7000",
            "fax_number": "513-246-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "SHAHLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35070787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212028",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00340572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Malkin, RN, CNP
• Antonio Raphael Malkoun, MD
• Christopher Mallaburn
• Mallard Cove Senior Development, LLC
• Brooke Mallett
• Daniel P Mallon, MD
• Mallory Adler DDS LLC
• Ashley Mallory, MD
• Lauren Elizabeth Mallory, CNP
• Maeve Mallory

• Pulmonary Disease Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.