DR. SHAHLA MALLICK MD
NPI 1629025804
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
379 DIXMYTH AVE, STE N, CINCINNATI, OH 45220(513) 246-7000(513) 246-7590 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shahla Mallick Md NPPES

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

DR. SHAHLA MALLICK MD (NPI 1629025804) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35070787) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1629025804
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SHAHLA MALLICKCredential: MD
Location Address379 DIXMYTH AVE, STE NCincinnati, OH 45220-2475
Mailing Address4685 Forest Ave, Suite CCincinnati, OH 45212-3397 · (513) 853-4721 · Fax (513) 852-8525
Fax(513) 246-7590
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 31, 2006
Last NPPES UpdateJune 26, 2014
NPI 1629025804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 35070787
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
379 DIXMYTH AVE, Cincinnati, OH 45220

Other Identifiers 5

OtherP00340572OH · Medicare Rr
Medicare PIN0869156OH
Medicaid2212028OH
Medicare UPING91239OH
Medicare PINMA0869157OH

Accepted 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

Dr. Shahla Mallick 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 ID8224920749
PECOS Enrollment IDI20040329000365
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 14

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.
206 services77 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.
113 services61 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.
80 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers79 claims79 services$14.02 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$36.70 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers43 claims43 services$912.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers27 claims27 services$4.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers171 claims171 services$63.74 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
5 suppliers95 claims99 services$28.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Family Medicine
379 DIXMYTH AVE
CINCINNATI, OH 45220
General Acute Care Hospital
379 DIXMYTH AVE
CINCINNATI, OH 45220
Pharmacist
379 DIXMYTH AVE
CINCINNATI, OH 45220
Physician Assistant
379 DIXMYTH AVE
CINCINNATI, OH 45220
Physical Therapist
379 DIXMYTH AVE
CINCINNATI, OH 45220
Speech-Language Pathologist
379 DIXMYTH AVE
CINCINNATI, OH 45220
Physical Therapist
379 DIXMYTH AVE
CINCINNATI, OH 45220
Orthopaedic Surgery
379 DIXMYTH AVE
CINCINNATI, OH 45220

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 Shahla Mallick's NPI number?

The NPI number for Shahla Mallick is 1629025804. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Shahla Mallick located?

Shahla Mallick practices at 379 Dixmyth Ave Ste N, Cincinnati, OH 45220. The listed phone number is (513) 246-7000.

What is Shahla Mallick's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Shahla Mallick enrolled in Medicare?

Yes. Shahla Mallick 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 Shahla Mallick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Shahla Mallick 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 Shahla Mallick affiliated with any hospitals?

According to CMS data, Shahla Mallick is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Shahla Mallick was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.