DR. SAMEER AHMED MALLICK MBBS
NPI 1437846276
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Q: What is Sameer Ahmed Mallick's NPI number?

The NPI number for Sameer Ahmed Mallick is 1437846276. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Q: What is Sameer Ahmed Mallick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 21, 2023PECOS Enrolled

329 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604(423) 979-4100(423) 979-4134 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Sameer Ahmed Mallick Mbbs NPPES

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

DR. SAMEER AHMED MALLICK MBBS (NPI 1437846276) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437846276

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SAMEER AHMED MALLICKCredential: MBBS

Location Address329 N STATE OF FRANKLIN RDJohnson City, TN 37604-6062

Mailing Address1 Medical Park Blvd, Ste 205eBristol, TN 37620 · (423) 439-8023 · Fax (423) 439-8910

Phone(423) 979-4100

Fax(423) 979-4134

Sole ProprietorYes

Enumeration DateApril 21, 2023

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1437846276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

329 N STATE OF FRANKLIN RD, Johnson City, TN 37604

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sameer Ahmed Mallick Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 17

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

JAMES W MYERS M.D.

Internal Medicine (Infectious Disease)