Mark Abdelmalek, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

MD425228 Issued in PA

Practice address

200 N 16TH St Ste D
Philadelphia, PA 19102-1225

Phone

(215) 315-3197

Fax

(215) 689-4466

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Micrographic Dermatologic Surgery (MDS)

Education

Hahneman Medical College of the Pacific, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology of Philadelphia / Mohs Surgery Center, LLCGroup PAC ID 1254762438, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.abdelmalek@qdp.emadirect.md
• Direct secure messaging: mabdelmalek@dermofphilly.emadirect.md
• Direct secure messaging: mabdelmalek@directaddress.net

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.

• Dermatology of Philadelphia / Mohs Surgery Center, LLC

  dba Center for Transplant Patients

  • MOHS-Micrographic Surgery Physician
  • Philadelphia, PA
  • NPI 1932740461

  Dermatology, NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology of South Jersey LLC

  • MOHS-Micrographic Surgery Physician
  • Voorhees, NJ
  • NPI 1528822152
  Medicare reassignment NPD Authorized official
• Macaione & Papa Dermatology Associates, PA

  • Specialist
  • Voorhees, NJ
  • NPI 1780631648
  Medicare reassignment NPD
• Zitelli & Brodland PC

  • MOHS-Micrographic Surgery Physician
  • Pittsburgh, PA
  • NPI 1184790099
  NPD (past)
• Dermatology Physicians of South Jersey, PA

  • Dermatopathology Physician
  • Mount Laurel, NJ
  • NPI 1124185004
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1972543155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021225",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 16TH ST STE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021225",
            "telephone_number": "215-315-3197",
            "fax_number": "215-689-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELMALEK",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD425228",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA10197000",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA10197000",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD425228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mabdelmalek@dermofphilly.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct HISP Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 N 16th St Ste D",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191021225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abdelaal Mamdouh Abdelbaky, MD
• Amal Abdelfattah
• Abdelkader Family Dentistry
• Ahmed Saad Abdelkader, DDS
• Nejat Hassen Abdella
• Peter Abdelmaseeh Tanagho Abdelmaseeh
• Emily Mary Abdelmessih
• Shumoos Abdelrahman
• Annabelle Abdo, DO
• Mahsa Abdolhosseini, DDS

• MOHS-Micrographic Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• MOHS-Micrographic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.