Individual provider Active NPI

Malik Hamdan, M.D.

  • Pediatrics Physician
  • Beckley, WV
National Provider Identifier
1649666413
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28938 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3397
Phone
(304) 256-4100
Fax
(304) 254-3016
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28938 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3397

Mailing address

1710 Harper Rd
Beckley, WV 25801-3397
Phone (304) 641-7477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191003003735 WV Practitioner - Pediatric Medicine 9638485790 Reassigns benefits to 3 organizations
I20231106003555 FL Practitioner - Pediatric Medicine 9638485790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14809 Normans Cay Cir
Lutz, FL 33559-3441

4007 Estate Diamond Ruby
Christiansted, VI 00820-4435

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 24, 2025 Accepting new patients
Womencare Inc Current Accepting new patients
Raleigh General Hospital LLC CurrentSince Aug 1, 2021 Accepting new patients
Womencare Inc CurrentSince Sep 1, 2019 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Oct 24, 2025 Accepting new patients
Paragon Emergency Services LLC Pediatrics CurrentSince Aug 14, 2023 Accepting new patients
Womencare Inc Current Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Aug 14, 2023 Accepting new patients
Womencare, Inc CurrentSince Sep 1, 2019 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare, Inc CurrentSince Sep 1, 2019 Accepting new patients
Womencare Inc Current Accepting new patients
Raleigh General Hospital LLC CurrentSince Aug 1, 2021 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Lamis Medical LLC Pediatrics Current Accepting new patients

Locations

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

830 Pennsylvania Ave
Ste 103
Charleston, WV 25302
Phone (304) 388-2525

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4
  • Direct secure messaging: muhammad.hamdan.malik.1@31454.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1649666413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013397",
            "telephone_number": "304-641-7477",
            "fax_number": "304-254-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013397",
            "telephone_number": "304-256-4100",
            "fax_number": "304-254-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDAN",
        "first_name": "MALIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "28938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.