SHOAIB MALIK M.D.
NPI 1427312677
Family Medicine in Hamilton, NJ

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
1 HAMILTON HEALTH PL, HAMILTON, NJ 08690(973) 251-1081 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Shoaib Malik M.d. NPPES

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

SHOAIB MALIK M.D. (NPI 1427312677) is an individual family medicine provider in Hamilton, New Jersey, licensed in New Jersey (25MA10105400) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1427312677
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHOAIB MALIKCredential: M.D.
Location Address1 HAMILTON HEALTH PLHamilton, NJ 08690-3542
Mailing Address3 Century DrParsippany, NJ 07054-4610 · (973) 740-0607
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 2, 2012
Last NPPES UpdateJune 5, 20234 updates tracked since enumeration
NPPES CertifiedApril 17, 2022
NPI 1427312677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA10105400
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.
1 HAMILTON HEALTH PL, Hamilton, NJ 08690

Secondary Practice Location 1

Location 1250 Laurel StDes Moines, IA 50314-3024 · Phone (515) 643-4624

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

Shoaib 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 ID4284885518
PECOS Enrollment IDI20170615001630
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
844 services114 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
580 services89 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.
172 services129 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
74 services73 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
72 services71 patients
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.
68 services66 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08690 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
42%115 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Obstetrics & Gynecology
1 HAMILTON HEALTH PL
TRENTON, NJ 08690
Nurse Practitioner
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Nurse Practitioner (Family)
1 HAMILTON HEALTH PL
TRENTON, NJ 08690
Internal Medicine
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Specialist/Technologist (Athletic Trainer)
1 HAMILTON HEALTH PL
HAMILTON TOWNSHIP, NJ 08690
Obstetrics & Gynecology
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Nurse Practitioner (Adult Health)
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690
Nurse Practitioner (Acute Care)
1 HAMILTON HEALTH PL
HAMILTON, NJ 08690

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 Shoaib Malik's NPI number?

The NPI number for Shoaib Malik is 1427312677. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Shoaib Malik located?

Shoaib Malik practices at 1 Hamilton Health Pl, Hamilton, NJ 08690. The listed phone number is (973) 251-1081.

What is Shoaib Malik's specialty?

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

Is Shoaib Malik enrolled in Medicare?

Yes. Shoaib 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.

Is Shoaib Malik affiliated with any hospitals?

According to CMS data, Shoaib Malik is affiliated with University Medical Center Of Princeton At Plainsboro.

When was this NPI record last updated?

The NPPES record for Shoaib Malik was last updated on June 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.