Individual provider Active NPI

Afrem Malki, M.D.

  • Family Medicine Physician
  • Rio Rico, AZ
National Provider Identifier
1821048760
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036083815 Issued in IL
Practice address
1103 Circulo Mercado
Rio Rico, AZ 85648-6248
Phone
(520) 281-1550
Fax
(520) 281-1112
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036083815 IL Primary

Addresses

Primary practice location

1103 Circulo Mercado
Rio Rico, AZ 85648-6248

Mailing address

825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2128

Other practice location 1

100 E. LeFevre Road
Sterling, IL 61081-1279
Phone (815) 625-0400

Other identifiers 3

IdentifierTypeStateIssuer
036083815MedicaidIL
094948MedicaidAZ
080171460OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afrem.malki.p1@direct.cghmc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210715003552 AZ Practitioner - Family Practice 8628054863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariposa Community Health Center IncGroup PAC ID 8123926326, 34 clinicians

Practice addresses (Care Compare)

101 Taylor St
Patagonia, AZ 85624-9600
Phone (520) 281-1550

1103 Circulo Mercado
Rio Rico, AZ 85648-6248
Phone (520) 281-1550

1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036083815ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc CurrentSince Sep 1, 2022 Accepting new patients
Hope Diabetes Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Mariposa Community Health Center, Inc Family Medicine Current Accepting new patients
Mariposa Community Health Center, Inc Family Medicine Current Accepting new patients
Mariposa Community Health Center, Inc Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
New Vida Medical LLC PastSince Nov 3, 2024 Accepting new patients
Rock River Health, Inc. Family Medicine Past Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

1410 W Guadalupe Rd
Ste 101
Gilbert, AZ 85233
Phone (480) 497-5933

3130 E Baseline Rd
Ste 105
Mesa, AZ 85204
Phone (480) 497-5933

3048 E Baseline Rd
Ste 122
Mesa, AZ 85204
Phone (480) 497-5933

1852 N Mastick Way
Nogales, AZ 85621

1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

3231 N Grand Ave
Nogales, AZ 85621
Phone (520) 393-4923

825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128

333 W Thomas Rd
Ste 208A
Phoenix, AZ 85013
Phone (480) 300-4646

1103 Circulo Mercado
Rio Rico, AZ 85648
Phone 5202811550 ext. 1180

Interoperability endpoints

  • Direct secure messaging: afrem.malkimd.p1@direct.azch.nextgenshare.com

Organizations & group practices 8

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1821048760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N GRAND AVE STE 100",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211061",
            "telephone_number": "520-761-2128",
            "fax_number": "520-761-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CIRCULO MERCADO",
            "city": "RIO RICO",
            "state": "AZ",
            "postal_code": "856486248",
            "telephone_number": "520-281-1550",
            "fax_number": "520-281-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E. LeFevre Road",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610811279",
            "country_code": "US",
            "telephone_number": "815-625-0400",
            "fax_number": "815-625-6728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALKI",
        "first_name": "AFREM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036083815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083815",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094948",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080171460",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afrem.malki.p1@direct.cghmc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "100 E. LeFevre Road",
            "city": "Sterling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610811279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rio Rico, AZ

Sources for this page

Verify at the official NPI Registry.