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ATHER ASHFAQUE MALIK DO
NPI 1386616399
Family Medicine in Valparaiso, IN

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
2000 ROOSEVELT RD STE 203, VALPARAISO, IN 46383(219) 464-2106 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2023, Dec 20, 2022, Sep 23, 2022 and 12 more (15 updates tracked since 2018).

About Ather Ashfaque Malik Do NPPES

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

ATHER ASHFAQUE MALIK DO (NPI 1386616399) is an individual family medicine provider in Valparaiso, Indiana, licensed in Indiana (02005830A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1386616399
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameATHER ASHFAQUE MALIKCredential: DO
Location Address2000 ROOSEVELT RD STE 203Valparaiso, IN 46383-2802
Mailing Address35318 Eagle WayChicago, IL 60678-1353 · (317) 528-4800 · Fax (317) 865-1479
Phone(219) 464-2106
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJanuary 13, 202315 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1386616399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 02005830A✔ Licensed in IL · 036114338✔ Licensed in IL · 336075335✔ Licensed in IL · 036.114338
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.
2000 ROOSEVELT RD STE 203, Valparaiso, IN 46383
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Secondary Practice Locations 3

Location 115300 West AveOrland Park, IL 60462 · Phone (708) 460-5550 · Fax (708) 226-2595
Location 27905 Calumet AveMunster, IN 46321-2549 · Phone (219) 836-5800
Location 33700 W 203rd St Ste 301Olympia Fields, IL 60461-1182 · Phone (708) 679-2580 · Fax (708) 503-3810

Other Identifiers 2

Medicaid300036009IN
Medicaid036114338IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ather Ashfaque Malik Do 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 ID5597707026
PECOS Enrollment IDI20200320002678
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.

Areas of Expertise CMS Part B claims 6

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.
263 services217 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.
141 services103 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
35 services34 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.
16 services16 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers20 claims50 services$5.85 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
2 suppliers11 claims11 services$215.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ather Malik's NPI number?

The NPI number for Ather Malik is 1386616399. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Ather Malik located?

Ather Malik practices at 2000 Roosevelt Rd Ste 203, Valparaiso, IN 46383. The listed phone number is (219) 464-2106.

What is Ather Malik's specialty?

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

Is Ather Malik enrolled in Medicare?

Yes. Ather 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.

What insurance does Ather Malik accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Ather 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 Ather Malik affiliated with any hospitals?

According to CMS data, Ather Malik is affiliated with Northwest Health-La Porte, St Mary Medical Center Inc, Northwest Health - Porter and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Ather Malik was last updated on January 13, 2023. 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.