Individual provider Active NPI

Khalil Mahmood Malik, MD

  • Allergy Physician
  • Lansdale, PA
National Provider Identifier
1699730572
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD035345E Issued in PA
Practice address
601 E Main St Ste 3
Lansdale, PA 19446-2947
Phone
(215) 361-5070
Fax
(215) 412-4811
NPI assigned
Apr 20, 2006
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD035345E PA Primary

Addresses

Primary practice location

601 E Main St Ste 3
Lansdale, PA 19446-2947

Mailing address

116 Gwynedd Lea Dr
North Wales, PA 19454-1921
Phone (267) 218-3427

Other identifiers 1

IdentifierTypeStateIssuer
1047825MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120106000052 PA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9830364017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 E Main St
Suite 3
Lansdale, PA 19446-2947
Phone (215) 361-5070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KM Allergy and Asthma Center, LLC CurrentSince Jun 30, 2017 Accepting new patients

Locations

1037 S Broad St
Lansdale, PA 19446
Phone (215) 361-5070

1037 S Broad St
Bldg B
Lansdale, PA 19446

601 E Main St
Ste 3
Lansdale, PA 19446
Phone (215) 361-5070

Interoperability endpoints

  • Direct secure messaging: khalilmalik.2311@kmaller.ehi.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1699730572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GWYNEDD LEA DR",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541921",
            "telephone_number": "267-218-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E MAIN ST STE 3",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462947",
            "telephone_number": "215-361-5070",
            "fax_number": "215-412-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "KHALIL",
        "middle_name": "MAHMOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "PA",
            "license": "MD035345E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047825",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.