Individual provider Active NPI

Farah Malik, MD

  • Internal Medicine Physician
  • Yorkville, IL
National Provider Identifier
1871547638
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-110764 Issued in IL
Practice address
207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393
Phone
(630) 553-2111
Fax
(630) 553-0022
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-110764 IL Primary

Addresses

Primary practice location

207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393

Mailing address

207 Hillcrest Ave Ste a
Yorkville, IL 60560-1393
Phone (630) 553-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040929000394 IL Practitioner - Internal Medicine 5092784744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Medicine of Yorkville, LTDGroup PAC ID 5597658815, 3 clinicians

Practice addresses (Care Compare)

207 Hillcrest Ave
Suite a
Yorkville, IL 60560-1393
Phone 63055321111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-110764ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Medicine of Yorkville, LTD CurrentSince Feb 25, 2009 Accepting new patients

Locations

207 Hillcrest Ave
Ste A
Yorkville, IL 60560
Phone (630) 553-2111

Organizations & group practices 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1871547638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HILLCREST AVE STE A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601393",
            "telephone_number": "630-553-2111",
            "fax_number": "630-553-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HILLCREST AVE STE A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601393",
            "telephone_number": "630-553-2111",
            "fax_number": "630-553-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "FARAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-110764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

Verify at the official NPI Registry.