Organization Active NPI

Komal a Malik, MD, PC

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1700215399
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0067967 Issued in MD
Legal business name
KOMAL A MALIK, MD, PC
Practice address
8315 Cherry LN
Laurel, MD 20707-4830
Phone
(301) 604-7000
Fax
(301) 604-7005
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Komal Anwar Malik, MDNPI 1730339995
Title
Owner
Phone
(301) 604-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0067967 MD Primary

Addresses

Primary practice location

8315 Cherry LN
Laurel, MD 20707-4830

Mailing address

8315 Cherry LN
Laurel, MD 20707-4830
Phone (301) 604-7000

Other names 1

  • Komal A Malik, MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140116000236 DC Part B Supplier - Clinic/Group Practice 8527296748 Receives reassigned benefits from 2 practitioners
Practice locations: Laurel, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2084955Komal a Malik MD, PC8315 Cherry Lane, Laurel, MD 20707Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1700215399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074830",
            "telephone_number": "301-604-7000",
            "fax_number": "301-604-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074830",
            "telephone_number": "301-604-7000",
            "fax_number": "301-604-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMAL A MALIK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "KOMAL",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-604-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0067967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Komal A Malik, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.