Individual provider Active NPI

Khalid Masood Malik, MD

  • Surgery Physician
  • Saginaw, MI
National Provider Identifier
1730173014
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
041834 Issued in MI
Practice address
70 N Frost Dr
Ste 1
Saginaw, MI 48638-5796
Phone
(989) 792-4440
Fax
(989) 792-0685
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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 041834 MI Primary

Addresses

Primary practice location

70 N Frost Dr
Ste 1
Saginaw, MI 48638-5796

Mailing address

70 N Frost Dr
Ste 1
Saginaw, MI 48638-5796
Phone (989) 792-4440

Other identifiers 2

IdentifierTypeStateIssuer
0730003OtherBCBSM
1412886MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080515000037 MI Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 9739258807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041834MIMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: kmalik534@direct.covenanthealthcare.com

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1730173014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 N FROST DR",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385796",
            "telephone_number": "989-792-4440",
            "fax_number": "989-792-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N FROST DR",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385796",
            "telephone_number": "989-792-4440",
            "fax_number": "989-792-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "KHALID",
        "middle_name": "MASOOD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "041834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0730003",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1412886",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.