Sami Amine Abdul-Malak, MD
Individual provider Active NPI Neurology Physician · Syracuse, NY
NPI 1891835658 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1891835658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 174620 (NY)
- Practice address
- 739 Irving Ave
Suite 600
Syracuse, NY 13210-1651 - Phone
- (315) 701-2550
- Fax
- (315) 701-2551
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Crouse Medical Practice PLLC
Practice addresses (Care Compare)
736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111
739 Irving Ave
Syracuse, NY 13210-1651
739 Irving Ave
Suite 340
Syracuse, NY 13210-1605
Phone (315) 470-7747
Hospital & facility affiliations
- Crouse Hospital
- Oswego Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070906000710 | NY | Practitioner - Neurology | 6204929268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174620 | NY | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice PLLC | Past | Accepting new patients | |
| Crouse Health Inc. | Past | Accepting new patients |
Interoperability endpoints
- smalak@crousemed.medentdirect.com
- samalak@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 174620 | NY | Yes |
Addresses
Primary practice location
739 Irving Ave
Suite 600
Syracuse, NY 13210-1651
Mailing address
1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Other practice location 1
736 Irving Ave Ste 340
Syracuse, NY 13210-1687
Phone (315) 470-7747
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sabdulmalak@crousemed.medentdirect.com | Direct | Crouse Medical Practice, PLLC |
Other providers in Syracuse, NY
- Summer Abbott
- Elias S. Abboud
- Omar Abdallah
- Naima Abdi
- Warda Abdi
- Nasir Abdul-Wadud
- Asma Abdulkadir
- Khadijo Ibrahim Abdulkadir
- Joud Abdulkarim
- Mary Abdulky
All providers in Syracuse, NY · Neurology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.