Active NPI
Parveen Malik, M.D.
- General Practice Physician
- Orlando, FL
National Provider Identifier
1972668630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301065126
- Practice address
- 11268 S Apopka Vineland Rd
Orlando, FL 32836-6152 - Phone
- (407) 465-1996
- Fax
- (407) 465-1997
- NPI assigned
- Dec 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301065126 | MI | Primary |
| General Practice Physician | 208D00000X | ME97637 | FL |
Addresses
Primary practice location
11268 S Apopka Vineland Rd
Orlando, FL 32836-6152
Mailing address
5633 Forest Ridge Dr
Winter Haven, FL 33881-0703
Phone (989) 220-6773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010090049-2 | Other | MI | BLUECROSSBLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97637 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Visting Home Service | Past | Accepting new patients | |
| Jira, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Saginaw, MI
- NPI 1770734618
-
- Home Health Agency
- Saginaw, MI
- NPI 1720125172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1972668630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5633 FOREST RIDGE DR",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338810703",
"telephone_number": "989-220-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11268 S APOPKA VINELAND RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328366152",
"telephone_number": "407-465-1996",
"fax_number": "407-465-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "PARVEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-23",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301065126",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME97637",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "010090049-2",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.