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SEVERANCE MEDICAL FOOT AND ANKLE SPECIALISTS
NPI 1205197910
Clinic/Center - Podiatric in Cleveland Heights, OH

Active since May 30, 2012
5 SEVERANCE CIR, 701, CLEVELAND HEIGHTS, OH 44118(216) 397-0999(216) 397-0983 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Severance Medical Foot And Ankle Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEVERANCE MEDICAL FOOT AND ANKLE SPECIALISTS (NPI 1205197910) is a healthcare organization registered as a podiatric in Cleveland Heights, Ohio and active in the NPI registry since May 2012. The organization lists Taj A Malik, President, as its authorized official.

NPPES Registry Identity

NPI1205197910
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameTAJ A. MALIK DPM PC INC
Location Address5 SEVERANCE CIR, 701Cleveland Heights, OH 44118-1566
Mailing Address5 Severance Cir, 701Cleveland Heights, OH 44118-1566 · (216) 397-0999 · Fax (216) 397-0983
Phone(216) 397-0999
Fax(216) 397-0983
Organization SubpartNo
Authorized OfficialTaj A MalikPresident · (216) 397-0999
Enumeration DateMay 30, 2012
Last NPPES UpdateMarch 4, 2013
✔ NPI 1205197910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
5 SEVERANCE CIR, Cleveland Heights, OH 44118
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Other Names 1

Doing Business AsSeverance Medical Foot And Ankle Specialists

Other Identifiers 1

Medicare UPINT81977

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Severance Medical Foot And Ankle Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20170424000778DME · Physician - PodiatryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Severance Medical Foot And Ankle Specialists, which bills Medicare for the services this clinician delivers.

Clinician (1)

Taj Malik, DPM
Podiatry
NPI 1972669752
5 SEVERANCE CIRCLE SUITE 701
Cleveland Heights, OH 44118
(216) 397-0999
✔ PECOS✔ Accepts MedicareSame address

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 Taj A. Malik Dpm PC Inc's NPI number?

The NPI number for Taj A. Malik Dpm PC Inc is 1205197910. It was assigned to this organization in the NPPES registry on May 30, 2012. The provider is doing business as Severance Medical Foot And Ankle Specialists.

Where is Taj A. Malik Dpm PC Inc located?

Taj A. Malik Dpm PC Inc is located at 5 Severance Cir 701, Cleveland Heights, OH 44118. The listed phone number is (216) 397-0999.

What is Taj A. Malik Dpm PC Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Taj A. Malik Dpm PC Inc enrolled in Medicare?

Yes. Taj A. Malik Dpm PC Inc is registered in the Medicare PECOS enrollment system.

When is Taj A. Malik Dpm PC Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Ohio, Physician - Podiatry) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Taj A. Malik Dpm PC Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Taj A. Malik Dpm PC Inc. 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.

What insurance does Taj A. Malik Dpm PC Inc accept?

Health plans from CareSource list Taj A. Malik Dpm PC Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Taj A. Malik Dpm PC Inc was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.