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MALLICK QAISER ALAM MD
NPI 1467529271
General Practice in New Haven, CT

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
77 GRAND AVE, NEW HAVEN, CT 06513(203) 562-8697(203) 562-1822 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallick Qaiser Alam Md NPPES

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

MALLICK QAISER ALAM MD (NPI 1467529271) is an individual general practice provider in New Haven, Connecticut, licensed in Connecticut (034112) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1467529271
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMALLICK QAISER ALAMCredential: MD
Location Address77 GRAND AVENew Haven, CT 06513-3906
Mailing Address77 Grand AveNew Haven, CT 06513-3906 · (203) 562-8697 · Fax (203) 562-1822
Phone(203) 562-8697
Fax(203) 562-1822
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467529271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CT · 034112
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
77 GRAND AVE, New Haven, CT 06513
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Other Names 1

Other Name (5)Qaiser Mallick Md

Other Identifiers 1

Medicare UPING07321

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

Mallick Qaiser Alam Md 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 ID9830356195
PECOS Enrollment IDI20120130000440
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

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

NEW HAVEN WALK IN MEDICAL CENTER
Pediatrics
77 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 562-8697

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 Mallick Alam's NPI number?

The NPI number for Mallick Alam is 1467529271. It was assigned to this individual provider in the NPPES registry on November 29, 2006. The provider is also known as Qaiser Mallick MD.

Where is Mallick Alam located?

Mallick Alam practices at 77 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 562-8697.

What is Mallick Alam's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mallick Alam enrolled in Medicare?

Yes. Mallick Alam 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.

When was this NPI record last updated?

The NPPES record for Mallick Alam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.