Malaika Hakima, MD
Individual provider Active NPI General Practice Physician · Flomaton, AL
NPI 1689649592 · NPPES record last updated Jan 14, 2020
Key facts
- NPI
- 1689649592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 12420 (AL)
- Practice address
- PO Drawer 1911
Flomaton, AL 36441-1911 - Phone
- (251) 296-0136
- Fax
- (251) 296-1916
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, NC
- 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 |
|---|---|---|---|---|
| I20090603000182 | AL | Practitioner - General Practice | 2961552534 | Reassigns benefits to 1 organization |
| I20250424003999 | NC | Practitioner - General Practice | 2961552534 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12420 | AL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | General Practice | Current |
Accepting new patients |
| Signify Health, LLC | General Practice | Current |
Accepting new patients |
| General Practice M Hakima MD PC | Family Medicine | Past | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12420 | AL | Yes |
Addresses
Primary practice location
PO Drawer 1911
Flomaton, AL 36441-1911
Mailing address
PO Drawer 1911
1831 Roosevelt Street
Flomaton, AL 36441-1911
Phone (251) 296-0136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187817 | Other | FL | HEALTHEASE MEDICAID |
| 529905520 | Medicaid | AL | |
| 051089471 | Other | AL | BLUE CROSS BLUE SHIELD |
| 058005800 | Medicaid | FL | |
| 79961 | Other | FL | BLUE CROSS BLUE SHIELD |
| 101513 | Other | FL | HEALTH FIRST NETWORK/BCBS |
| 000089471 | Medicaid | AL |
NPI Registry JSON
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1689649592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 1911",
"address_2": "1831 ROOSEVELT STREET",
"city": "FLOMATON",
"state": "AL",
"postal_code": "364411911",
"telephone_number": "251-296-0136",
"fax_number": "251-296-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO DRAWER 1911",
"city": "FLOMATON",
"state": "AL",
"postal_code": "364411911",
"telephone_number": "251-296-0136",
"fax_number": "251-296-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIMA",
"first_name": "MALAIKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "12420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE MEDICAID",
"identifier": "187817",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529905520",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051089471",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058005800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "79961",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH FIRST NETWORK/BCBS",
"identifier": "101513",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000089471",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flomaton, AL
- D.W. McMillan Memorial Hospital
- Dura Med Southeast Inc
- Dura-Med Southeast, Inc.
- General Practice M Hakima MD PC
- Billy Joe Golden Jr.
- Lisa K Hoehn
- Mark Thomas Hudson
- Kelsie Lauren Johnson
- Melissa Gail Kilcrease
- Anna M. Lee
All providers in Flomaton, AL · General Practice Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.