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MOHAMMAD MALIK
NPI 1306288832
Internal Medicine in Johnstown, PA

Active since July 25, 2013PECOS EnrolledAccepts Medicare Assignment
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9408 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 15, 2021, May 26, 2021 (2 updates tracked since 2021).

About Mohammad Malik NPPES

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

MOHAMMAD MALIK (NPI 1306288832) is an individual internal medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD461568) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306288832
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMAD MALIK
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305
Phone(814) 534-9408
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 25, 2013
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1306288832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD461568
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.
1086 FRANKLIN ST, Johnstown, PA 15905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mohammad Malik 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 ID1759505571
PECOS Enrollment IDI20180130000890
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

5

Medicare enrollment records show Mohammad Malik reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Conemaugh Physician Practices LLC
Same address
Pediatrics
1086 FRANKLIN ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
NPI 1184025876 (814) 539-8725
Malik Health Care LLC
7.4 mi
Internal Medicine
131 TERRAPIN DR
Windber, PA 15963
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1174381362 (443) 846-1582
Upmc Altoona
31 mi
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
NPI 1497831655 (814) 889-2223
Dlp Conemaugh Meyersdale Medical Center LLC
35 mi
Family Medicine
202 BEACHLEY ST
Meyersdale, PA 15552
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 56 clinicians in this Medicare group
NPI 1932500154 (814) 634-5935
Apogee Medical Group, Pennsylvania, P.C.
56 mi
Internal Medicine
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Apogee Medical Group Of Pennsylvania PC
  • 383 clinicians in this Medicare group
NPI 1568633535 (814) 375-6440

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.
1,433 services220 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.
96 services91 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.
79 services72 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.
52 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$21.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers41 claims41 services$116.50 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 20

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

MEMORIAL MEDICAL CENTER
General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9503
JOSEPH W HENSLEY DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
NICOLE DOLHI DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
BRADLEY STEPHEN WINEGARDNER
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-1660
SAI HARSHA BOBBA MD
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9364
AYESHA HAQ MD
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9408
CHRISTINA DAVIS PA-C
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Cambria County (814) 534-5592
MRS. JAMIE ELIZABETH OKOPAL RN, CRNA
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9321

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 Mohammad Malik's NPI number?

The NPI number for Mohammad Malik is 1306288832. It was assigned to this individual provider in the NPPES registry on July 25, 2013.

Where is Mohammad Malik located?

Mohammad Malik practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9408.

What is Mohammad Malik's specialty?

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

Is Mohammad Malik enrolled in Medicare?

Yes. Mohammad 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 Mohammad Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Malik reassigns Medicare benefits to 5 organizations: Dlp Conemaugh Physician Practices LLC (Johnstown, PA), Malik Health Care LLC (Windber, PA), Upmc Altoona (Altoona, PA), Dlp Conemaugh Meyersdale Medical Center LLC (Meyersdale, PA) and Apogee Medical Group, Pennsylvania, P.C. (Du Bois, PA). 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 Mohammad Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Malik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mohammad 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 Mohammad Malik affiliated with any hospitals?

According to CMS data, Mohammad Malik is affiliated with Upmc Altoona and Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Mohammad Malik was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.