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SHAHRAM MALIK MD
NPI 1285827923
Hospitalist in Pennington Gap, VA

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277(276) 546-1440(423) 224-3258 Get Directions Write a Review

NPPES record last updated: March 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shahram Malik Md NPPES

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

SHAHRAM MALIK MD (NPI 1285827923) is an individual hospitalist provider in Pennington Gap, Virginia, licensed in Virginia (0101245409) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285827923
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSHAHRAM MALIKCredential: MD
Location Address127 HEALTH CARE DRPennington Gap, VA 24277-2853
Mailing Address999 Executive Park Blvd, Suite 201Kingsport, TN 37660-4632 · (423) 224-3250 · Fax (423) 224-3258
Phone(276) 546-1440
Fax(423) 224-3258
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 27, 2007
Last NPPES UpdateMarch 20, 2014
✔ NPI 1285827923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in VA · 0101245409
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101245409 (VA)
127 HEALTH CARE DR, Pennington Gap, VA 24277
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Other Identifiers 4

Medicare PIN103I084811TN
Medicare PIN103I086278TN
Medicare PINV V5979AVA
Medicare PIN019715W82VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shahram Malik Md 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 ID5991855793
PECOS Enrollment IDI20121127000320
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shahram Malik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellmont Medical Associates, Inc.
24 mi
Internal Medicine
405 SCENIC DR, SUITE A
Rogersville, TN 37857
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1689032575 (423) 921-3490
Holston Medical Group PC
31 mi
Family Medicine
105 W STONE DR, 3A
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
NPI 1831110667 (423) 392-6200
Centennial Physician Services, PC
31 mi
Internal Medicine
130 W RAVINE RD
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 23 clinicians in this Medicare group
NPI 1871436022 (423) 224-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
195 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
126 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
121 services69 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services68 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24277 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers21 claims21 services$918.54 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$6.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

GABRILLE ELAINE HAMILTON FNP
Nurse Practitioner
127 HEALTH CARE DR, SUITE 8
PENNINGTON GAP, VA 24277
Lee County (276) 546-5212
KAILEN DANIELLE RAMBO
Nurse Practitioner (Family)
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Lee County (276) 299-5000
MOUNTAIN STATES HEALTH ALLIANCE
General Acute Care Hospital (Critical Access)
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Lee County (276) 299-5000
DR. STEPHEN PAUL BAKELER MD
Internal Medicine
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Lee County (423) 925-1790
NORTHEAST TENNESSEE EMERGENCY PHYSICIANS PC
Emergency Medicine
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Lee County (276) 546-7440
MRS. MONA SPEAK DNP, FNP-BC
Nurse Practitioner (Family)
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Lee County (276) 546-5212
WELLMONT HEALTH SYSTEM
Rehabilitation Unit
127 HEALTH CARE DR
PENNINGTON GAP, VA 24277
Lee County (276) 546-1440
DR. PATRICK A MOLONY M.D.
Internal Medicine
127 HEALTH CARE DR, SUITE 8
PENNINGTON GAP, VA 24277
Lee County (276) 546-5212

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 Shahram Malik's NPI number?

The NPI number for Shahram Malik is 1285827923. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Shahram Malik located?

Shahram Malik practices at 127 Health Care Dr, Pennington Gap, VA 24277. The listed phone number is (276) 546-1440.

What is Shahram Malik's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shahram Malik enrolled in Medicare?

Yes. Shahram Malik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shahram Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahram Malik reassigns Medicare benefits to 3 organizations: Wellmont Medical Associates, Inc. (Rogersville, TN), Holston Medical Group PC (Kingsport, TN) and Centennial Physician Services, PC (Kingsport, TN). Each 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 Shahram Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shahram Malik accept?

Health plans from Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shahram Malik 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.

Is Shahram Malik affiliated with any hospitals?

According to CMS data, Shahram Malik is affiliated with Wellmont Holston Valley Medical Center, Johnson City Medical Center and Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Shahram Malik was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.