Active NPI
Nabeel Mallick, MD
- Internal Medicine Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 340170
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (800) 772-7769
- NPI assigned
- Jun 23, 2020
- Last updated
- Feb 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 340170 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whatley Health Services Inc | Current | Accepting new patients | |
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Belle Chasse Physician Services LLC | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| The DCH Health Care Authority | Current | Accepting new patients | |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Whatley Health Services, Inc. | Current | Accepting new patients | |
| Capstone Health Services Foundation PC | Current | Accepting new patients | |
| The DCH Healthcare Authority | Current | Accepting new patients | |
| THS Physician Partners Inc | Internal Medicine | Current | 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
- 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.
-
dba University Medical Center
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1740397751
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
dba Maude L. Whatley Health Centers
- Federally Qualified Health Center (FQHC)
- Tuscaloosa, AL
- NPI 1063422756
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
-
dba Sound Physicians
- Hospitalist Physician
- Escanaba, MI
- NPI 1366768178
Internal Medicine
-
dba University Medical Center Neurology
- Neurology Physician
- Tuscaloosa, AL
- NPI 1255212353
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
-
dba Whatley Health Services Pharmacy
- Community/Retail Pharmacy
- Tuscaloosa, AL
- NPI 1477276749
-
- General Acute Care Hospital
- Northport, AL
- NPI 1760586325
-
dba DCH Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Tuscaloosa, AL
- NPI 1689623514
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Thomas Memorial Hospital
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.