Individual provider Active NPI

Ahmed Malik, MD

  • Internal Medicine Physician
  • Pikeville, KY
National Provider Identifier
1750476834
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20701 Issued in KY
Practice address
255 Church St
Suite 204
Pikeville, KY 41501-3476
Phone
(606) 432-4104
Fax
(606) 432-6817
NPI assigned
Oct 4, 2006
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20701 KY
Nuclear Cardiology Physician 207UN0901X 20701 KY
Internal Medicine Physician 207R00000X 20701 KY Primary

Addresses

Primary practice location

255 Church St
Suite 204
Pikeville, KY 41501-3476

Mailing address

255 Church St
Suite 204
Pikeville, KY 41501-3476
Phone (606) 432-4104

Other practice location 1

604 James S. Trimble Blvd
Paintsville, KY 41240
Phone (606) 789-0303

Other identifiers 2

IdentifierTypeStateIssuer
64207012MedicaidKY
18036593000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080102000253 KY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9537265723 Reassigns benefits to 3 organizations
Practice locations: Pikeville, KY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Tug Valley Health Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Internal Medicine Current Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 14, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Mar 1, 2024 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 14, 2022 Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Pikeville Cardiology Clinic Specialist PastSince Jan 1, 1990 Accepting new patients
BHG XXV, LLC PastSince Sep 1, 2015 Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

24 Left Penhook Rd
Harold, KY 41635
Phone (606) 478-8787

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

604 James Trimble Blvd
Paintsville, KY 41240
Phone (606) 788-0303

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

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

Organizations & group practices 12

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1750476834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST",
            "address_2": "SUITE 204",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-432-4104",
            "fax_number": "606-432-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CHURCH ST",
            "address_2": "SUITE 204",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013476",
            "telephone_number": "606-432-4104",
            "fax_number": "606-432-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 James S. Trimble Blvd",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "41240",
            "country_code": "US",
            "telephone_number": "606-789-0303",
            "fax_number": "606-789-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "20701",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "KY",
            "license": "20701",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "20701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64207012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18036593000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.