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DR. GAUTAM MALIK M.D.
NPI 1285892455
Internal Medicine in Chicago, IL

Active since May 24, 2008PECOS EnrolledAccepts Medicare Assignment
91.79/100
CMS Quality Rating
3043 N WILTON AVE, 2ND FLOOR, CHICAGO, IL 60657(773) 296-5424(773) 296-5280 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2021, Mar 23, 2021, Dec 9, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Gautam Malik M.d. NPPES

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

DR. GAUTAM MALIK M.D. (NPI 1285892455) is an individual internal medicine provider in Chicago, Illinois, licensed in Florida (ME143824) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and maintains a secondary practice location in Olympia Fields.

NPPES Registry Identity

NPI1285892455
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GAUTAM MALIKCredential: M.D.
Location Address3043 N WILTON AVE, 2ND FLOORChicago, IL 60657
Mailing Address35318 Eagle WayChicago, IL 60678-1353 · (317) 528-4800 · Fax (317) 865-1479
Phone(773) 296-5424
Fax(773) 296-5280
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 24, 2008
Last NPPES UpdateOctober 21, 20215 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
✔ NPI 1285892455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME143824✔ Licensed in IL · 036-128378
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.
Also ListedHospitalistTaxonomy 208M00000X · License 036-128378 (IL)
3043 N WILTON AVE, Chicago, IL 60657
Open in Google Maps ↗

Secondary Practice Location 1

Location 120201 Crawford AveOlympia Fields, IL 60461-1010 · Phone (844) 740-4445 · Fax (708) 679-2161

Other Identifiers 1

OtherIL5686064IL · Medicare Ptan

Accepted Insurance

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

Dr. Gautam Malik M.d. 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 ID6103094925
PECOS Enrollment IDI20210224000332
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

2

Medicare enrollment records show Gautam Malik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of Jacksonville, LLC
866 mi
Internal Medicine
655 W 8TH ST
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 440 clinicians in this Medicare group
NPI 1124252333 (904) 244-3850
Collins Physician Services, LLC
1,191 mi
Hospitalist
4300 ALTON RD
Miami Beach, FL 33140
  • Reassigned Medicare billing, Florida enrollment
  • 120 clinicians in this Medicare group
NPI 1457839524 (305) 481-9776

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 5

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 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.
224 services97 patients
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.
175 services75 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
95 services94 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.
67 services67 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.77
Improvement Activities40
Cost98.4

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 Gautam Malik's NPI number?

The NPI number for Gautam Malik is 1285892455. It was assigned to this individual provider in the NPPES registry on May 24, 2008.

Where is Gautam Malik located?

Gautam Malik practices at 3043 N Wilton Ave 2nd Floor, Chicago, IL 60657. The listed phone number is (773) 296-5424.

What is Gautam Malik's specialty?

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

Is Gautam Malik enrolled in Medicare?

Yes. Gautam 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 Gautam Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gautam Malik reassigns Medicare benefits to 2 organizations: Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL) and Collins Physician Services, LLC (Miami Beach, FL). 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 Gautam Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gautam Malik accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Gautam 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 Gautam Malik affiliated with any hospitals?

According to CMS data, Gautam Malik is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Gautam Malik was last updated on October 21, 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.