FAMILY MEDICINE CLINIC
NPI 1649553793
Family Medicine in Port Saint Lucie, FL

Q: What is Imran Malik MD LLC's NPI number?

The NPI number for Imran Malik MD LLC is 1649553793. It was assigned to this organization in the NPPES registry on September 26, 2011. The provider is doing business as Family Medicine Clinic.

Q: What is Imran Malik MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 26, 2011CLIA 10D2029487 · Waiver

8515 S US HIGHWAY 1, SUITE 3, PORT SAINT LUCIE, FL 34952(772) 380-4042(772) 380-4043 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Family Medicine Clinic NPPES

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

FAMILY MEDICINE CLINIC (NPI 1649553793) is a healthcare organization registered as a family medicine in Port Saint Lucie, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists Imran M Malik, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1649553793

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameIMRAN MALIK MD LLC

Location Address8515 S US HIGHWAY 1, SUITE 3Port Saint Lucie, FL 34952-3346

Mailing Address8515 S Us Highway 1, Suite 3Port Saint Lucie, FL 34952-3346 · (772) 380-4042 · Fax (772) 380-4043

Phone(772) 380-4042

Fax(772) 380-4043

Organization SubpartNo

Authorized OfficialImran M MalikManaging Member · (772) 380-4042

Enumeration DateSeptember 26, 2011

Last NPPES UpdateNovember 15, 2011

✔ NPI 1649553793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME107296

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8515 S US HIGHWAY 1, Port Saint Lucie, FL 34952

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Other Names 1

Doing Business AsFamily Medicine Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Medicine Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Imran Malik, M.D.

Family Practice

NPI 1760651285

8515 S US HIGHWAY 1 SUITE 3
Port St Lucie, FL 34952

(772) 380-4042

✔ PECOS✔ Accepts MedicareSame address

Alexia Pizzarro, FNP-C

Nurse Practitioner

NPI 1780364935

8515 S US HIGHWAY 1 STE 3
Port Saint Lucie, FL 34952

(772) 380-4042

✔ PECOS0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2029487

Family Medicine Clinic · Port Saint Lucie, FL

Active · expires Sep 7, 2027

CLIA Number10D2029487

Laboratory TypePhysician Office

Certificate Effective DateSeptember 8, 2025

Certificate Expiration DateSeptember 7, 2027

Laboratory DirectorImran Malik

Laboratory Phone(772) 380-4042

Laboratory LocationFamily Medicine Clinic8515 S Us Hwy 1, Port Saint Lucie, FL 34952

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Imran Malik MD LLC's NPI number?

The NPI number for Imran Malik MD LLC is 1649553793. It was assigned to this organization in the NPPES registry on September 26, 2011. The provider is doing business as Family Medicine Clinic.

Where is Imran Malik MD LLC located?

Imran Malik MD LLC is located at 8515 S Us Highway 1 Suite 3, Port Saint Lucie, FL 34952. The listed phone number is (772) 380-4042.

What is Imran Malik MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Imran Malik MD LLC enrolled in Medicare?

Yes. Imran Malik MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Imran Malik MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Imran Malik MD LLC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Imran Malik MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2029487) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Imran Malik MD LLC was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.