Active NPI
Afrem Malki, M.D.
- Family Medicine Physician
- Rio Rico, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036083815
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036083815 | Medicaid | IL | |
| 094948 | Medicaid | AZ | |
| 080171460 | Other | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036083815 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Hope Diabetes Center, LLC | Current | 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 | Current | Accepting new patients |
| New Vida Medical LLC | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
Family Medicine
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1104865757
-
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
-
- Federally Qualified Health Center (FQHC)
- Tubac, AZ
- NPI 1578922787
Family Medicine
-
- Clinic/Center
- Mesa, AZ
- NPI 1508689274
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.