NPIMap

Individual provider Active NPI

Taha Rashid Mallick, MD

  • Surgery Physician
  • Hazard, KY
National Provider Identifier
1710409842
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
56797 Issued in KY
Practice address
200 Medical Center Dr
Hazard, KY 41701-9466
Phone
(606) 487-7510
Fax
(606) 439-6793
NPI assigned
Jul 11, 2017
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 56797 KY Primary

Addresses

Primary practice location

200 Medical Center Dr
Hazard, KY 41701-9466

Mailing address

200 Medical Center Dr
Hazard, KY 41701-9466
Phone (606) 487-7510

Other practice location 1

306 Hospital Dr
South Williamson, KY 41503-4095
Phone (606) 237-1789

Other practice location 2

506 Lenox Ave # 11.101
New York, NY 10037-1802
Phone (516) 289-1450

Other identifiers 1

IdentifierTypeStateIssuer
7100849740MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tahamallick@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004002871 KY Practitioner - General Surgery 0840676573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

306 Hospital Dr
South Williamson, KY 41503-4095
Phone (606) 237-1740

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (606) 886-7645

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56797KYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Tug Valley Health Services, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients

Locations

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

306 Hospital Dr
#110A
South Williamson, KY 41503
Phone (606) 237-1740

Interoperability endpoints

  • Direct secure messaging: tahamallick@arh.medalliesdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1710409842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7510",
            "fax_number": "606-439-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019466",
            "telephone_number": "606-487-7510",
            "fax_number": "606-439-6793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "South Williamson",
            "state": "KY",
            "postal_code": "415034095",
            "country_code": "US",
            "telephone_number": "606-237-1789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 Lenox Ave # 11.101",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100371802",
            "country_code": "US",
            "telephone_number": "516-289-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "TAHA",
        "middle_name": "RASHID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "56797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100849740",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tahamallick@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "200 Medical Center Dr",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "417019466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.