IMTIAZ A. MALLICK PHYSICIAN P.C
NPI 1083946792
Internal Medicine in Fishkill, NY
About Imtiaz A. Mallick Physician P.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMTIAZ A. MALLICK PHYSICIAN P.C (NPI 1083946792) is a healthcare organization registered as an internal medicine in Fishkill, New York and active in the NPI registry since February 2010. The organization lists Imtiaz A Mallick, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Imtiaz A. Mallick Physician P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Imtiaz A. Mallick Physician P.C, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Imtiaz A. Mallick Physician P.C's NPI number?
The NPI number for Imtiaz A. Mallick Physician P.C is 1083946792. It was assigned to this organization in the NPPES registry on February 4, 2010.
Where is Imtiaz A. Mallick Physician P.C located?
Imtiaz A. Mallick Physician P.C is located at 798 Route 9, Fishkill, NY 12524. The listed phone number is (845) 896-2204.
What is Imtiaz A. Mallick Physician P.C's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Imtiaz A. Mallick Physician P.C enrolled in Medicare?
Yes. Imtiaz A. Mallick Physician P.C is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Imtiaz A. Mallick Physician P.C?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Imtiaz A. Mallick Physician P.C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Imtiaz A. Mallick Physician P.C was last updated on March 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Imtiaz A. Mallick Physician P.c · NPI 1083946792
Internal Medicine organization in Fishkill, New York. Organization record, active in the CMS NPPES registry since February 4, 2010.
## Identity
- **NPI:** 1083946792 (Entity type: Organization)
- **Enumerated:** February 4, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Imtiaz Mallick, PRESIDENT & CEO
## Practice location
- **Address:** 798 ROUTE 9, Fishkill, NY 12524-1393
- **Phone:** (845) 896-2204 · **Fax:** (845) 896-5173
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2022
- **Other identifiers:** Medicaid 01485712 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083946792) · Data from the CMS NPPES public registry.