Individual provider Active NPI

Mokerrum Fatima Malik, M.D.

  • Obstetrics & Gynecology Physician
  • Fulton, MD
National Provider Identifier
1730442203
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0091851 Issued in MD
Practice address
8171 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2527
Phone
(410) 531-7557
Fax
(410) 531-0818
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0091851 MD Primary
Obstetrics & Gynecology Physician 207V00000X 4301101309 MI

Addresses

Primary practice location

8171 Maple Lawn Blvd Ste 100
Fulton, MD 20759-2527

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (013) 440-8339

Other practice location 1

3990 John R St
Mailbox #165
Detroit, MI 48201-2018
Phone (313) 993-4030

Other practice location 2

419 W Redwood St Ste 500
Baltimore, MD 21201-7001
Phone (667) 214-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20180914000500 IL Practitioner - Obstetrics/Gynecology 5092002824 Reassigns benefits to 1 organization
I20210901000168 MD Practitioner - Obstetrics/Gynecology 5092002824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301101309MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of MD Obstetrical and Gynecological Asso. PA Obstetrics & Gynecology CurrentSince Aug 30, 2021 Accepting new patients
Obhg Illinois SC Obstetrics & Gynecology CurrentSince Aug 11, 2020 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
HSHS Medical Group Inc PastSince Jul 30, 2018 Accepting new patients

Locations

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

250 W Pratt St
Ste 880
Baltimore, MD 21201

419 W Redwood St
Ste 500
Baltimore, MD 21201
Phone (410) 328-6640

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8171 Maple Lawn Blvd
Ste 100
Fulton, MD 20759
Phone (410) 531-7557

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

Interoperability endpoints

  • Direct secure messaging: malik.mokerrum.p1@direct.cwcare.nextgenshare.com
  • Direct secure messaging: mmalik838667@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1730442203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "013-440-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8171 MAPLE LAWN BLVD STE 100",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592527",
            "telephone_number": "410-531-7557",
            "fax_number": "410-531-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_2": "Mailbox #165",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-993-4030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 W Redwood St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212017001",
            "country_code": "US",
            "telephone_number": "667-214-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MOKERRUM",
        "middle_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0091851",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301101309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.