Individual provider Active NPI

Nabeel Mallick, MD

  • Internal Medicine Physician
  • Lansing, MI
National Provider Identifier
1740806041
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
340170 Issued in LA
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(800) 772-7769
NPI assigned
Jun 23, 2020
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 340170 LA Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

5156 Pecan Dr
Ypsilanti, MI 48197-6818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, WV, AL, MI4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20240220004684 LA Practitioner - Internal Medicine 8628412434 Reassigns benefits to 1 organization
I20240808003977 WV Practitioner - Internal Medicine 8628412434 Reassigns benefits to 1 organization
I20241105001153 AL Practitioner - Internal MedicinePractitioner - Hospitalist 8628412434 Reassigns benefits to 3 organizations
I20241223002000 MI Practitioner - Internal Medicine 8628412434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Phone (205) 348-1770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340170LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince Aug 16, 2024 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Oct 20, 2024 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Jan 22, 2024 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Aug 1, 2024 Accepting new patients
The DCH Health Care Authority CurrentSince Mar 1, 2025 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Oct 20, 2024 Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 16, 2024 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Aug 1, 2024 Accepting new patients
The DCH Healthcare Authority CurrentSince Mar 1, 2025 Accepting new patients
THS Physician Partners Inc Internal Medicine CurrentSince Jun 20, 2024 Accepting new patients
The DCH Health Care Authority Past Accepting new patients
Northport Medical Center Past Accepting new patients
The DCH Health Care Authority Past Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 Corporate Blvd
Lafayette, LA 70508

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

L3539
Columbus, OH 43260
Phone (304) 414-4800

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: nabeel.mallickmd.p1@direct.umc.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1740806041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 PECAN DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "800-772-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "NABEEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "340170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.