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NADA MALLICK MD
NPI 1285071118
Pediatrics - Pediatric Critical Care Medicine in Washington, DC

Active since June 02, 2013PECOS Enrolled
111 MICHIGAN AVE NW STE 4800, WASHINGTON, DC 20010(202) 476-3000 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2021, Jun 29, 2016 (2 updates tracked since 2016).

About Nada Mallick Md NPPES

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

NADA MALLICK MD (NPI 1285071118) is an individual pediatric critical care medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD045068) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1285071118
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameNADA MALLICKCredential: MD
Location Address111 MICHIGAN AVE NW STE 4800Washington, DC 20010-2916
Mailing Address111 Michigan Ave Nw Ste 4800Washington, DC 20010-2916 · (202) 476-3000 · Fax (804) 828-2435
Phone(202) 476-3000
Sole ProprietorNo
Enumeration DateJune 2, 2013
Last NPPES UpdateFebruary 11, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2021
✔ NPI 1285071118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in DC · MD045068
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 0101259788 (VA)
111 MICHIGAN AVE NW STE 4800, Washington, DC 20010
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Secondary Practice Location 1

Location 11001 E Marshall St, PEDS: PEDIATRICSRichmond, VA 23298-5075 · Phone (804) 828-4588 · Fax (804) 828-2435

Other Identifiers 1

Medicaid2014287839VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nada Mallick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

ESTEFANIA YENAHI CHAVEZ MD
Pediatrics
111 MICHIGAN AVE NW STE 4800
WASHINGTON, DC 20010
District of Columbia (202) 476-3131

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 Nada Mallick's NPI number?

The NPI number for Nada Mallick is 1285071118. It was assigned to this individual provider in the NPPES registry on June 2, 2013.

Where is Nada Mallick located?

Nada Mallick practices at 111 Michigan Ave NW Ste 4800, Washington, DC 20010. The listed phone number is (202) 476-3000.

What is Nada Mallick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Nada Mallick enrolled in Medicare?

Yes. Nada Mallick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nada Mallick was last updated on February 11, 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.