Individual provider Active NPI

Patrick Malik, DO

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1942247135
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036086548 Issued in IL
Practice address
5145 N California Ave
Chicago, IL 60625
Phone
(773) 878-8200
Fax
(630) 734-1560
NPI assigned
May 31, 2006
Last updated
Jun 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036086548 IL Primary

Addresses

Primary practice location

5145 N California Ave
Chicago, IL 60625

Mailing address

PO Box 5940
Dept 20-1070
Carol Stream, IL 60197-5940
Phone (630) 734-0200

Other identifiers 1

IdentifierTypeStateIssuer
036086548MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060321000210 IL Practitioner - Emergency Medicine 5193732808 Reassigns benefits to 7 organizations
I20160523000304 LA Practitioner - Emergency Medicine 5193732808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthony Emergency Services Physician GroupGroup PAC ID 5698744076, 15 clinicians

Practice addresses (Care Compare)

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
74.7
Promoting interoperability
100
Improvement activities
40
Cost
85.45

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
77.82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036086548ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Aug 14, 2022 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Loretto Hospital Emergency Medicine CurrentSince Nov 23, 2022 Accepting new patients
Loretto Hospital CurrentSince Nov 23, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Cook County Current Accepting new patients
St Anthony Emergency Services Physician Group CurrentSince Mar 2, 2024 Accepting new patients
Cook County Emergency Medicine CurrentSince Oct 17, 2022 Accepting new patients
Cook County CurrentSince Oct 17, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jan 1, 2017 Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince Mar 21, 2016 Accepting new patients
Insight Chicago, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Webster Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1942247135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5940",
            "address_2": "DEPT 20-1070",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975940",
            "telephone_number": "630-734-0200",
            "fax_number": "630-734-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-878-8200",
            "fax_number": "630-734-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036086548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086548",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.