Individual provider Active NPI

Mohammad Bilal Malik, MD

  • Hematology & Oncology Physician
  • Crossett, AR
National Provider Identifier
1700822863
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
C8506 Issued in AR
Practice address
313 N Alabama St Ste 1
Crossett, AR 71635-2809
Phone
(501) 906-3000
NPI assigned
Jun 20, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X C8506 AR Primary

Addresses

Primary practice location

313 N Alabama St Ste 1
Crossett, AR 71635-2809

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other identifiers 1

IdentifierTypeStateIssuer
125074001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mohammad.Malik@carti.OncoEMRDirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20060411000495 AR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0244247369 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8506ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital CurrentSince Sep 15, 2010 Accepting new patients
Delta Memorial Hospital CurrentSince Sep 15, 2010 Accepting new patients
Little Rock Hematology Oncology Past Accepting new patients
Little Rock Hematology Oncology Hematology & Oncology Past Accepting new patients

Locations

811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
  • Direct secure messaging: mohammad.malik@carti.oncoemrdirect.com

Organizations & group practices 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1700822863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "870-534-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N ALABAMA ST STE 1",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352809",
            "telephone_number": "501-906-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MOHAMMAD",
        "middle_name": "BILAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "C8506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125074001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mohammad.Malik@carti.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "313 N Alabama St Ste 1",
            "city": "Crossett",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716352809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.