AYESHA MALLICK IMAM M.D.
NPI 1306280094
Internal Medicine in Springfield, OH
About Ayesha Mallick Imam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYESHA MALLICK IMAM M.D. (NPI 1306280094) is an individual internal medicine provider in Springfield, Ohio, licensed in Ohio (35.144361) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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
Ayesha Mallick Imam 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ayesha Mallick Imam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 49 clinicians in this Medicare group
Springfield, OH 45504
- Reassigned Medicare billing, Ohio enrollment
- 494 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Springfield Regional Medical Center
Acute Care Hospitals · Springfield, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHMercy Health - Urbana Hospital
Critical Access Hospitals · Urbana, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, OH 45504
SPRINGFIELD, OH 45504
SPRINGFIELD, OH 45504
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 Ayesha Mallick Imam's NPI number?
The NPI number for Ayesha Mallick Imam is 1306280094. It was assigned to this individual provider in the NPPES registry on April 24, 2013.
Where is Ayesha Mallick Imam located?
Ayesha Mallick Imam practices at 100 Medical Center Dr, Springfield, OH 45504. The listed phone number is (937) 523-4147.
What is Ayesha Mallick Imam's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ayesha Mallick Imam enrolled in Medicare?
Yes. Ayesha Mallick Imam 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 Ayesha Mallick Imam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayesha Mallick Imam reassigns Medicare benefits to 2 organizations: Usacs Critical Care Medicine Services Of Ohio, LLC (Springfield, OH) and Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH). 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 Ayesha Mallick Imam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ayesha Mallick Imam affiliated with any hospitals?
According to CMS data, Ayesha Mallick Imam is affiliated with Springfield Regional Medical Center, Soin Medical Center and Mercy Health - Urbana Hospital.
When was this NPI record last updated?
The NPPES record for Ayesha Mallick Imam was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ayesha Mallick Imam, M.D. · NPI 1306280094
Internal Medicine physician in Springfield, Ohio. Individual provider, active in the CMS NPPES registry since April 24, 2013.
## Identity
- **NPI:** 1306280094 (Entity type: Individual)
- **Enumerated:** April 24, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35.144361 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MEDICAL CENTER DR, Springfield, OH 45504-2687
- **Phone:** (937) 523-4147
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usacs Critical Care Medicine Services Of Ohio, LLC (NPI 1104560580, Springfield, OH); Usacs Integrated Acute Care Services Of Ohio, LLC (NPI 1043805690, Springfield, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306280094) · Data from the CMS NPPES public registry.