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NANCY ROBERTS MALEK D.O.
NPI 1568424653
Otolaryngology in New York, NY

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
55 E 34TH ST FL 1, NEW YORK, NY 10016(212) 252-6131(212) 252-6169 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, Oct 12, 2022 (2 updates tracked since 2022).

About Nancy Roberts Malek D.o. NPPES

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

NANCY ROBERTS MALEK D.O. (NPI 1568424653) is an individual otolaryngology provider in New York, New York, licensed in New York (330969) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1568424653
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameNANCY ROBERTS MALEKCredential: D.O.
Location Address55 E 34TH ST FL 1New York, NY 10016-4337
Mailing Address55 E 34th St Fl 1New York, NY 10016-4337 · (212) 252-6131 · Fax (212) 252-6169
Phone(212) 252-6131
Fax(212) 252-6169
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateApril 4, 2006
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1568424653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NY · 330969✔ Licensed in DE · C2-0024575✔ Licensed in IL · 036079063
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
55 E 34TH ST FL 1, New York, NY 10016
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Other Names 1

Former Name (1)Nancy Roberts D.o.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nancy Roberts Malek D.o. 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 ID244274108
PECOS Enrollment IDI20241023003046
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nancy Malek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
1.2 mi
Internal Medicine
222 WEST 14TH STREET
New York, NY 10011
  • Reassigned Medicare billing, New York enrollment
  • 309 clinicians in this Medicare group
NPI 1568841930 (212) 604-1800
Nj Eye And Ear LLC
10 mi
Ophthalmology
17 W PALISADE AVE
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
NPI 1356860811 (973) 546-5700
Bayhealth Medical Center, Inc
136 mi
Orthopaedic Surgery
651 BAY ROAD, SUITE 1F
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
  • 272 clinicians in this Medicare group
NPI 1912766858 (302) 744-7113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
33 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.84
Promoting Interoperability100
Improvement Activities40
Cost90.78

Other Providers at the Same Location NPPES

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

ANDREW J FALLIS MD
Family Medicine
55 E 34TH ST FL 1
NEW YORK, NY 10016
New York County (212) 252-6131

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 Nancy Malek's NPI number?

The NPI number for Nancy Malek is 1568424653. It was assigned to this individual provider in the NPPES registry on April 4, 2006. The provider is also known as Nancy Roberts D.O..

Where is Nancy Malek located?

Nancy Malek practices at 55 E 34th St Fl 1, New York, NY 10016. The listed phone number is (212) 252-6131.

What is Nancy Malek's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nancy Malek enrolled in Medicare?

Yes. Nancy Malek 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.

Which organizations bill Medicare for Nancy Malek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Malek reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Nj Eye And Ear LLC (Englewood, NJ) and Bayhealth Medical Center, Inc (Dover, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Malek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Malek accept?

Health plans from AmeriHealth Caritas Next list Nancy Malek 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.

When was this NPI record last updated?

The NPPES record for Nancy Malek was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.