Active NPI
Taj A Malik, DPM
- Podiatrist
- Cleveland Heights, OH
National Provider Identifier
1972669752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36002541M
- Practice address
- 5 Severance Circle
Suite 701
Cleveland Heights, OH 44118-1590 - Phone
- (216) 397-0999
- Fax
- (216) 397-0983
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36002541M | OH | Primary |
Addresses
Primary practice location
5 Severance Circle
Suite 701
Cleveland Heights, OH 44118-1590
Mailing address
PO Box 1864
Cleveland Heights, OH 44106-0064
Phone (216) 397-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0718512 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5 Severance Cir
Suite 701
Cleveland Heights, OH 44118-1590
Phone (216) 397-0999
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 14 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002541M | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taj a. Malik DPM PC Inc | Podiatrist | Current | Accepting new patients |
Locations
5 Severance Cir
Ste 701
Cleveland Heights, OH 44118
Phone (216) 397-0999
Organizations & group practices 1
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": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1972669752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1864",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441060064",
"telephone_number": "216-397-0999",
"fax_number": "216-397-0983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 SEVERANCE CIRCLE",
"address_2": "SUITE 701",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181590",
"telephone_number": "216-397-0999",
"fax_number": "216-397-0983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "TAJ",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36002541M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0718512",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.