Malik I Bangura, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C08801 Issued in MD

Practice address

4940 Eastern Ave
Baltimore, MD 21224-2735

Phone

(440) 550-0100

NPI assigned

Dec 5, 2022

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Malik I Bangura Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Wisecare LLCGroup PAC ID 9638390651, 7 clinicians

Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Innovative Urgent Care, LLCGroup PAC ID 0749728681, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

Merit-based Incentive Payment System (MIPS)

Final score

83.31 of 100Reported as group

Quality

73.89

Promoting interoperability

100

Improvement activities

40

Cost

70.47

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbangura1085072@direct.hopkinsmedicine.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Damascus, MD
  • NPI 1821773508

  DC

  Medicare reassignment Care Compare group
• Johns Hopkins University

  dba Jhu - Anesthesia Pain MGMT

  • Pain Medicine (Anesthesiology) Physician
  • Baltimore, MD
  • NPI 1922008549
  Medicare reassignment Care Compare group
• Wisecare, LLC

  dba WiseCare Express Urgent Care Center

  • Urgent Care Clinic/Center
  • Pasadena, MD
  • NPI 1053728634
  Medicare reassignment Care Compare group
• Innovative Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Clarksburg, MD
  • NPI 1164305181
  NPD
• Johns Hopkins University

  dba JHU - 4692 Millennium Drive - Physician

  • Ophthalmology Physician
  • Belcamp, MD
  • NPI 1376342774
  NPD
• Johns Hopkins University

  dba Jhu - Emergency Medicine

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1386631810
  NPD
• Wisecare, LLC

  dba WiseCare Urgent Care

  • Urgent Care Clinic/Center
  • Severna Park, MD
  • NPI 1255868519
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johns Hopkins Bayview Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1790700904
  Care Compare affiliation
• Johns Hopkins Bayview Medical Center, Inc.

  dba Johns Hopkins Bayview Care Center

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1336251412
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1932819653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "440-550-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "MALIK",
        "middle_name": "I",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None",
            "address_1": "3600 W Broad St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232304915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MALIK",
            "last_name": "BANGURA",
            "middle_name": "I",
            "credential": "MALIK BANGURA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Banfield Health
• Breyer Banfield
• Rica Banfield
• Jee Bang, M.D.
• Abibatu Bakarr Bangai, PSYCHIATRIC NP
• Maryam Bangura
• Robert Bangura
• Salamatu Bangura
• Erik Banh, PA-C
• Ivona M Banham, PA-C

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.

Verify at the official NPI Registry.