Individual provider Active NPI

Uzma Malik, M.D.

  • Radiation Oncology Physician
  • Titusville, FL
National Provider Identifier
1952362527
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD427626 Issued in PA
Practice address
845 Century Medical Dr Ste a
Titusville, FL 32796-2157
Phone
(321) 529-6102
Fax
(321) 802-6863
NPI assigned
Mar 31, 2006
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD427626 PA Primary

Addresses

Primary practice location

845 Century Medical Dr Ste a
Titusville, FL 32796-2157

Mailing address

845 Century Medical Dr Ste a
Titusville, FL 32796-2157
Phone (321) 529-6102

Other identifiers 1

IdentifierTypeStateIssuer
104296500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20060126000942 PA Practitioner - Radiation Oncology 9739175068 Reassigns benefits to 3 organizations
I20191122000074 FL Practitioner - Radiation Oncology 9739175068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Lake Cancer CenterGroup PAC ID 2062434475, 5 clinicians

Practice addresses (Care Compare)

1775 One Healing PL
Tallahassee, FL 32308-4600
Phone (850) 431-5360

7301 Stonerock Cir
Suite 2
Orlando, FL 32819-8004
Phone (407) 351-1002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD427626PAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Sep 16, 2019 Accepting new patients
Omni Healthcare, Inc Current Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 16, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 16, 2019 Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2008 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 16, 2019 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jan 1, 2008 Accepting new patients
Sand Lake Cancer Center CurrentSince Mar 27, 2023 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
University of Kentucky Past Accepting new patients

Locations

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

95 Bulldog Blvd
Ste 202
Melbourne, FL 32901
Phone (321) 676-1870

7301 Stonerock Cir
Ste 2
Orlando, FL 32819
Phone (407) 351-1002

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

25 Sprint Dr
Carlisle, PA 17015
Phone (717) 737-5767

100 N Academy Ave
Danville, PA 17822

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: uzmamalik@ohi.allscriptsdirect.net

Organizations & group practices 13

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 13

Hospital & facility affiliations 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1952362527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 CENTURY MEDICAL DR STE A",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962157",
            "telephone_number": "321-529-6102",
            "fax_number": "321-802-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTURY MEDICAL DR STE A",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962157",
            "telephone_number": "321-529-6102",
            "fax_number": "321-802-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "UZMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD427626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104296500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.