MOHAMMAD SAAD MALIK MD
NPI 1578094272
Orthopaedic Surgery in Mattoon, IL
About Mohammad Saad Malik Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOHAMMAD SAAD MALIK MD (NPI 1578094272) is an individual orthopaedic surgery provider in Mattoon, Illinois, licensed in Illinois (036169401) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted 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
Mohammad Saad Malik 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mohammad Malik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
Bethesda, MD 20814
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21287
- Reassigned Medicare billing, District of Columbia enrollment
- 48 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Memorial Hospital
Acute Care Hospitals · Effingham, ILSarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILFayette County Hospital
Critical Access Hospitals · Vandalia, ILClay County Hospital
Critical Access Hospitals · Flora, ILHshs Good Shepherd Hospital Inc
Critical Access Hospitals · Shelbyville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Patient Reviews User submitted
Reviews are submitted by site visitors and approved by a human moderator before publication.
Review by christine ***** March 25, 2025
5/5Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MATTOON, IL 61938
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 Mohammad Malik's NPI number?
The NPI number for Mohammad Malik is 1578094272. It was assigned to this individual provider in the NPPES registry on March 23, 2017.
Where is Mohammad Malik located?
Mohammad Malik practices at 1004 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 238-3435.
What is Mohammad Malik's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Mohammad Malik enrolled in Medicare?
Yes. Mohammad 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.
Which organizations bill Medicare for Mohammad Malik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Malik reassigns Medicare benefits to 3 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Johns Hopkins University (Bethesda, MD) and Johns Hopkins University (Baltimore, MD). 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 Mohammad Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mohammad Malik accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Mohammad Malik 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 Mohammad Malik affiliated with any hospitals?
According to CMS data, Mohammad Malik is affiliated with St Anthonys Memorial Hospital, Sarah Bush Lincoln Health Center, Fayette County Hospital, Clay County Hospital and Hshs Good Shepherd Hospital Inc.
When was this NPI record last updated?
The NPPES record for Mohammad Malik was last updated on August 30, 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.
# Mohammad Saad Malik, MD · NPI 1578094272
Orthopaedic Surgery physician in Mattoon, Illinois. Individual provider, active in the CMS NPPES registry since March 23, 2017.
## Identity
- **NPI:** 1578094272 (Entity type: Individual)
- **Enumerated:** March 23, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 036169401 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1004 HEALTH CENTER DR, Mattoon, IL 61938-4605
- **Phone:** (217) 238-3435 · **Fax:** (217) 238-3492
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sarah Bush Lincoln Health Center (NPI 1568581379, Mattoon, IL); Johns Hopkins University (NPI 1578569240, Bethesda, MD); Johns Hopkins University (NPI 1013913789, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Nebraska College Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578094272) · Data from the CMS NPPES public registry.