MALIK AHMED NIZAMUDDIN D.O
NPI 1235663063
Internal Medicine in Everett, WA

Q: What is Malik Nizamuddin's NPI number?

The NPI number for Malik Nizamuddin is 1235663063. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Q: What is Malik Nizamuddin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Malik Nizamuddin was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment

2930 MAPLE ST, EVERETT, WA 98201(425) 261-1500(425) 261-1515 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2021, Aug 11, 2020, Apr 19, 2017 (3 updates tracked since 2017).

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About Malik Ahmed Nizamuddin D.o NPPES

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

MALIK AHMED NIZAMUDDIN D.O (NPI 1235663063) is an individual internal medicine provider in Everett, Washington, licensed in Washington (OP61054222) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Mount Vernon.

NPPES Registry Identity

NPI1235663063

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMALIK AHMED NIZAMUDDINCredential: D.O

Location Address2930 MAPLE STEverett, WA 98201-3832

Mailing Address2930 Maple StEverett, WA 98201-3832 · (425) 261-1500 · Fax (425) 261-1515

Phone(425) 261-1500

Fax(425) 261-1515

Sole ProprietorNo

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2017

Enumeration DateApril 19, 2017

Last NPPES UpdateApril 28, 20213 updates tracked since enumeration

NPPES CertifiedAugust 11, 2020

✔ NPI 1235663063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · OP61054222

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2930 MAPLE ST, Everett, WA 98201

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Secondary Practice Location 1

Location 11415 E Kincaid StMount Vernon, WA 98274-4126 · Phone (360) 814-2115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Malik Ahmed Nizamuddin D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012252232

PECOS Enrollment IDI20200817001399

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID E. HARRIS O.D.

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