Individual provider Active NPI

Vinod K Malik, M.D.

  • Interventional Pain Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1972553253
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME69567 Issued in FL
Practice address
1671 N Clyde Morris Blvd
Suite 100
Daytona Beach, FL 32117
Phone
(386) 274-2977
Fax
(386) 274-2966
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME69567 FL Primary
Anesthesiology Physician 207L00000X ME0069567 FL
Pain Medicine Physician 208VP0000X ME0069567 FL

Addresses

Primary practice location

1671 N Clyde Morris Blvd
Suite 100
Daytona Beach, FL 32117

Mailing address

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Other identifiers 1

IdentifierTypeStateIssuer
251816300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000132 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 2163325077 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Surgery Center of Florida, LLC Current Accepting new patients
Specialty Surgery Partners Center of Florida, LLC Current Accepting new patients
PRC Associates LLC Pain Medicine CurrentSince Oct 1, 2000 Accepting new patients
PRC Associates, LLC Pain Medicine Past Accepting new patients
PRC Associates LLC Pain Medicine Past Accepting new patients
PRC Associates, LLC Interventional Pain Medicine Past Accepting new patients
PRC Associates, LC Past Accepting new patients
Anesthesia Dynamics LLC Anesthesiology Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
PRC Associates LLC Pain Medicine Past Accepting new patients
Palm Coast Surgery Center LLC PastSince Apr 1, 2008 Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977

517 Health Blvd
Daytona Beach, FL 32114
Phone (386) 274-1005

644 W Plymouth Ave
Deland, FL 32720
Phone (386) 410-4926

750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123

761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977

245 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 410-4926

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 274-2977

2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160

1545 Hand Ave
Ste A1
Ormond Beach, FL 32174
Phone (386) 274-2977

53 N Old Kings Rd
Ste C
Ormond Beach, FL 32174
Phone (386) 672-6565

21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280

1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAIGCD

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1972553253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD",
            "address_2": "SUITE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32117",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "VINOD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME69567",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME0069567",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME0069567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251816300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.