Malak S Adib, MD
Individual provider Active NPI Internal Medicine Physician · Kettering, OH
NPI 1679538557 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1679538557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35070170S (OH)
- Practice address
- 500 Lincoln Park Blvd
Suite 110
Kettering, OH 45429-3492 - Phone
- (937) 531-5020
- Fax
- (937) 298-4385
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Physicians Inc
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
424 E Stroop Rd
Unit B
Ketterign, OH 45429-2843
Phone (937) 562-2300
500 Lincoln Park Blvd
Suite 220
Kettering, OH 45429-6404
Phone (937) 294-4487
Hospital & facility affiliations
- Kettering Homecare
- Bethany Village Home Health Care
- Gem City Home Care, LLC
- Fidelity Health Care
- Kettering Health Main Campus
- Kettering Health Dayton
- Kettering Health Miamisburg
- Miami Valley Hospital
- Soin Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100317000393 | OH | Practitioner - Internal Medicine | 5294860169 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35070170S | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Internal Medicine | Current |
Accepting new patients |
| Alliance Physicians Inc | Current |
Accepting new patients |
Locations
7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891
540 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (937) 293-1117
500 Lincoln Park Blvd
Ste 110
Kettering, OH 45429
Phone (937) 531-5020
2110 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-4838
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35070170S | OH | Yes |
Addresses
Primary practice location
500 Lincoln Park Blvd
Suite 110
Kettering, OH 45429-3492
Mailing address
500 Lincoln Park Blvd Ste 110
Kettering, OH 45429-6410
Phone (937) 531-5020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012495 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | madib144988@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Kettering, OH
- Stephen Adams
- Tyler Nicholas Adams
- Heather Sue Adaway
- Fadejimi Adelakun
- Ajibola A Adesanya
- Benjamin Edward Adkins
- Terri S Adoff
- Kokou Selom Adompreh Fia
- Jacqueline Delaine Adrian
- Advanced Breast & Cosmetic Surgery Inc
All providers in Kettering, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.