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MONICA MALLIK MD
NPI 1477085231
Internal Medicine - Nephrology in Wexford, PA

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
39.74/100
CMS Quality Rating
6500 BROOKTREE RD STE 100, WEXFORD, PA 15090(724) 935-2955(412) 766-4320 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2025, Nov 22, 2022, Jun 14, 2020 and 1 more (4 updates tracked since 2017).

About Monica Mallik Md NPPES

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

MONICA MALLIK MD (NPI 1477085231) is an individual nephrology provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD478286) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1477085231
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMONICA MALLIKCredential: MD
Location Address6500 BROOKTREE RD STE 100Wexford, PA 15090-9272
Mailing Address6500 Brooktree RdWexford, PA 15090-9272 · (412) 766-3232 · Fax (412) 766-4320
Phone(724) 935-2955
Fax(412) 766-4320
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2017
Last NPPES UpdateJune 28, 20254 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1477085231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in PA · MD478286✔ Licensed in OH · 35.145740
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
6500 BROOKTREE RD STE 100, Wexford, PA 15090
Open in Google Maps ↗

Secondary Practice Locations 5

Location 12562 Constitution BlvdBeaver Falls, PA 15010-1249 · Phone (724) 846-4934 · Fax (412) 766-4320
Location 2158 Elmwood DrPunxsutawney, PA 15767-2608 · Phone (814) 902-7181 · Fax (412) 766-4320
Location 3737 Brookshire DrHermitage, PA 16148-4507 · Phone (724) 346-0400 · Fax (724) 346-3659
Location 4631 N Broad Street ExtGrove City, PA 16127-4603 · Phone (724) 458-4447 · Fax (724) 346-3659
Location 5325 W 6th StEast Liverpool, OH 43920-2803 · Phone (330) 385-4040 · Fax (412) 766-4320

Other Identifiers 2

Medicaid103351880PA
Medicaid0492549OH

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

Monica Mallik 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 ID5092085613
PECOS Enrollment IDI20220701000078, I20220803001981
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 7

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
330 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
276 services105 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
159 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services129 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.
47 services27 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
45 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

39.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability37
Improvement Activities20
Cost59.96

Other Providers at the Same Location NPPES 2

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

ADVANCED NEPHROLOGY ASSOCIATES, P.C.
Internal Medicine (Nephrology)
6500 BROOKTREE RD STE 100
WEXFORD, PA 15090
Allegheny County (412) 766-3232
SAMUEL C BAROODY DO
Internal Medicine (Nephrology)
6500 BROOKTREE RD STE 100
WEXFORD, PA 15090
Allegheny County (412) 766-3232

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 Monica Mallik's NPI number?

The NPI number for Monica Mallik is 1477085231. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Monica Mallik located?

Monica Mallik practices at 6500 Brooktree Rd Ste 100, Wexford, PA 15090. The listed phone number is (724) 935-2955.

What is Monica Mallik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Monica Mallik enrolled in Medicare?

Yes. Monica Mallik 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 Monica Mallik accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Monica Mallik 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 Monica Mallik affiliated with any hospitals?

According to CMS data, Monica Mallik is affiliated with Allegheny General Hospital, Upmc Passavant, Upmc Horizon, Grove City Medical Center and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Monica Mallik was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.