DR. SUFYAN MUSTAFA MALIK M.D.
NPI 1356703573
Family Medicine in Salisbury, MD

Q: What is Sufyan Malik's NPI number?

The NPI number for Sufyan Malik is 1356703573. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Q: What is Sufyan Malik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sufyan Malik was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment

145 E CARROLL ST # 101102, SALISBURY, MD 21801(410) 912-5785 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2020, Sep 25, 2019, Jun 14, 2019 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Sufyan Mustafa Malik M.d. NPPES

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

DR. SUFYAN MUSTAFA MALIK M.D. (NPI 1356703573) is an individual family medicine provider in Salisbury, Maryland, licensed in Maryland (D87270) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356703573

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SUFYAN MUSTAFA MALIKCredential: M.D.

Location Address145 E CARROLL ST # 101102Salisbury, MD 21801-5454

Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400

Phone(410) 912-5785

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 26, 2016

Last NPPES UpdateJuly 31, 20204 updates tracked since enumeration

NPPES CertifiedJuly 31, 2020

✔ NPI 1356703573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D87270

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License D0087270 (MD)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

145 E CARROLL ST # 101102, Salisbury, MD 21801

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Secondary Practice Locations 2

Location 12213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-4554

Location 2100 E Carroll StSalisbury, MD 21801-5422 · Phone (800) 749-5191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, AmeriHealth Caritas Next.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. Sufyan Mustafa 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 ID5597090100

PECOS Enrollment IDI20190718000090, I20250130003728

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

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

Tidalhealth Primary Care, LLC

0.1 mi

Family Medicine

100 E CARROLL ST
Salisbury, MD 21801

Reassigned Medicare billing, Maryland enrollment
81 clinicians in this Medicare group

NPI 1104453208 (410) 546-6400

Tidalhealth Specialty Care, LLC

0.1 mi

Medical Specialty

100 E CARROLL ST
Salisbury, MD 21801

Reassigned Medicare billing, Maryland enrollment
531 clinicians in this Medicare group

NPI 1619504735 (410) 546-6400

Tidalhealth Peninsula Regional, Inc.

0.1 mi

Family Medicine

100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP
Salisbury, MD 21801

Reassigned Medicare billing, Maryland enrollment
169 clinicians in this Medicare group

NPI 1184832040 (410) 543-7252

Synergy Medical Group LLC

68 mi

Internal Medicine

2700 SOUTHAVEN RD
Annapolis, MD 21401

Reassigned Medicare billing, Maryland and District of Columbia enrollments
Also billed through NPI 1285500983 (District of Columbia)
101 clinicians in this Medicare group

NPI 1003782707 (410) 349-5100

Synergy Medical Group Im LLC

91 mi

Nephrology

1205 YORK RD STE 11
Timonium, MD 21093

Reassigned Medicare billing, District of Columbia and Maryland enrollments
27 clinicians in this Medicare group

NPI 1043155187 (443) 325-0031

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 14

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

328 services200 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

173 services173 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

59 services57 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

54 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services45 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

46 services45 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

38 services36 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

30 services30 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

30 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Imaging of retina with remote review by physician 92228

This procedure involves capturing detailed images of your retina, a layer at the back of your eye. These images are then sent to a remote physician for review. It helps diagnose and monitor conditions affecting your eyesight. No discomfort is expected.

22 services22 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21801 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers54 claims114 services$5.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers17 claims18 services$0.81 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier15 claims15 services$5.41 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers51 claims51 services$181.52 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers12 claims12 services$26.05 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

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

JAMES BLAKE TRUMBLE MD

Emergency Medicine

145 E CARROLL ST # 101102
SALISBURY, MD 21801

Wicomico County (410) 912-5785

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 Sufyan Malik's NPI number?

The NPI number for Sufyan Malik is 1356703573. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Sufyan Malik located?

Sufyan Malik practices at 145 E Carroll St # 101102, Salisbury, MD 21801. The listed phone number is (410) 912-5785.

What is Sufyan Malik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sufyan Malik enrolled in Medicare?

Yes. Sufyan 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 Sufyan Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sufyan Malik reassigns Medicare benefits to 5 organizations: Tidalhealth Primary Care, LLC (Salisbury, MD), Tidalhealth Specialty Care, LLC (Salisbury, MD), Tidalhealth Peninsula Regional, Inc. (Salisbury, MD), Synergy Medical Group LLC (Annapolis, MD) and Synergy Medical Group Im LLC (Timonium, MD). 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 Sufyan Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sufyan Malik accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Sufyan 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 Sufyan Malik affiliated with any hospitals?

According to CMS data, Sufyan Malik is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Sufyan Malik was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.