Active NPI
Pramod Malik, M.D.
- Gastroenterology Physician
- Suffolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101231641
- Practice address
- 3910 Bridge Rd Ste 101
Suffolk, VA 23435-1107 - Phone
- (757) 942-2566
- Fax
- (855) 313-1070
- NPI assigned
- Dec 21, 2005
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101231641 | VA | Primary |
Addresses
Primary practice location
3910 Bridge Rd Ste 101
Suffolk, VA 23435-1107
Mailing address
3910 Bridge Rd Ste 101
Suffolk, VA 23435-1107
Phone (757) 942-2566
Other practice location 1
4017 River Park Dr
Suffolk, VA 23435-3356
Phone (757) 725-1984
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010103061 | Medicaid | VA | |
| 159847 | Other | VA | ANTEM OF VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Gastroenterology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2790 Godwin Blvd
Suite 205
Suffolk, VA 23434-8154
Phone (757) 942-2566
Hospital & facility affiliations
- Sentara Obici Hospital
- Sentara Norfolk General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.95 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 319 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 250 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Gastroenterology Institute PC | Gastroenterology | Current | Accepting new patients |
| Virginia Gastroenterology Institute PC | Current | Accepting new patients |
Locations
3910 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 942-2566
2790 Godwin Blvd
Ste 205
Suffolk, VA 23434
Phone (757) 934-7753
Interoperability endpoints
- pramod.malik.1@12739.direct.athenahealth.com
- https://api.platform.athenahealth.com/12739/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Franklin, VA
- NPI 1134593494
-
- Corporate Health Clinic/Center
- Suffolk, VA
- NPI 1881210805
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1376540138
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1902882954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3910 BRIDGE RD STE 101",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351107",
"telephone_number": "757-942-2566",
"fax_number": "855-313-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 BRIDGE RD STE 101",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351107",
"telephone_number": "757-942-2566",
"fax_number": "855-313-1070"
}
],
"practiceLocations": [
{
"address_1": "4017 River Park Dr",
"address_purpose": "LOCATION",
"city": "Suffolk",
"state": "VA",
"postal_code": "234353356",
"country_code": "US",
"telephone_number": "757-725-1984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "PRAMOD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101231641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010103061",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTEM OF VA",
"identifier": "159847",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.