Amir a Malik MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

AMIR A MALIK MD PA

Practice address

204 Southpark Cir E
St Augustine, FL 32086-5135

Phone

(904) 829-8300

Fax

(904) 829-8310

NPI assigned

Sep 13, 2006

Last updated

Jan 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amir A Malik, MDNPI 1386749505

Title

Owner/Ceo

Phone

(904) 829-8300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Amir a Malik MD PA

  • Nephrology Physician
  • Palm Coast, FL
  • NPI 1922260470

  O20051031000713

  Same enrollment

Tax ID family

Amir Amalik MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Amir a Malik MD PA

  • Nephrology Physician
  • East Palatka, FL
  • NPI 1285969295
  NPD tax ID
• Amir a Malik MD PA

  • Nephrology Physician
  • Palm Coast, FL
  • NPI 1922260470
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Amir a Malik MD PA

  • Nephrology Physician
  • East Palatka, FL
  • NPI 1285969295
  NPPES parent name
• Amir a Malik MD PA

  • Nephrology Physician
  • Palm Coast, FL
  • NPI 1922260470
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amir A Malik, MD

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1386749505
  Medicare reassignment Care Compare group Authorized official
• Adey A a Hasan, MD

  • Nephrology Physician
  • St Augustine, FL
  • NPI 1043516511
  Medicare reassignment Care Compare group NPD
• Elizabeth Outlaw Muchmore, PA-C, MMS, MS, RD

  • Physician Assistant
  • St Augustine, FL
  • NPI 1306228952
  Medicare reassignment Care Compare group NPD
• Carlos Torres-Rivera, MD

  • Nephrology Physician
  • St Augustine, FL
  • NPI 1215032446
  Medicare reassignment Care Compare group NPD
• Chintan B Shah, MD

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1871782268
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1992800106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1779",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320851779",
            "telephone_number": "904-824-4990",
            "fax_number": "904-824-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTHPARK CIR E",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865135",
            "telephone_number": "904-829-8300",
            "fax_number": "904-829-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIR A MALIK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-829-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ9642",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273954200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Amaya
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• Darlene Nicole Amesbury, MS
• Amnath Kirdnual, M.D., P.a.
• Jacques Howard Amole, DNP, APRN
• Anastasia Dental Associates PLLC
• Anastasia Family and Urgent Care
• Anastasia Medical Group, LLC

• Nephrology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.