Amtul M Malik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101253172 Issued in VA

Practice address

3251 Blenheim Blvd Ste 200
Fairfax, VA 22030-1504

Phone

(703) 270-4300

NPI assigned

May 14, 2007

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment NPD
• Inova Health Care Services

  dba Inova Juniper Program

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1669511051
  NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD
• Vitas Healthcare Corporation Atlantic

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fairfax, VA
  • NPI 1134995533
  NPD
• Vitas Healthcare Corporation Atlantic

  • Community Based Hospice Care Agency
  • Washington, DC
  • NPI 1114038296

  Family Medicine

  NPD (past)
• Vitas Healthcare Corporation Atlantic

  • Community Based Hospice Care Agency
  • Mount Laurel, NJ
  • NPI 1285777573
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1699981290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 BLENHEIM BLVD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301504",
            "telephone_number": "703-270-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 BLENHEIM BLVD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301504",
            "telephone_number": "703-270-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st St NE Ste 320",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023385",
            "country_code": "US",
            "telephone_number": "202-414-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AMTUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101253172",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101253172",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101253172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehrdad M Malek, MD
• Alireza Stephen Malekzadeh, MD
• Malgorzata Gradzka, M.D., P.C.
• Natasha Malhotra, OTD, MSOTR/L
• Malib Care Inc
• Anjali Malik, MD
• Pankaj Malik, M.D.
• Shruti Malik, M.D.
• Amri Ngoye Maliyatabu
• Arun Nag Santhosh Mallapareddi

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.