DR. AHMED MALIK MD
NPI 1750476834
Internal Medicine in Pikeville, KY

Active since October 04, 2006PECOS Enrolled
97.4/100
CMS Quality Rating
255 CHURCH ST, SUITE 204, PIKEVILLE, KY 41501(606) 432-4104(606) 432-6817 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ahmed Malik Md NPPES

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

DR. AHMED MALIK MD (NPI 1750476834) is an individual internal medicine provider in Pikeville, Kentucky, licensed in Kentucky (20701) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Paintsville.

NPPES Registry Identity

NPI1750476834
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AHMED MALIKCredential: MD
Location Address255 CHURCH ST, SUITE 204Pikeville, KY 41501-3476
Mailing Address255 Church St, Suite 204Pikeville, KY 41501-3476 · (606) 432-4104 · Fax (606) 432-6817
Fax(606) 432-6817
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1750476834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 20701
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 20701 (KY)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 20701 (KY)
255 CHURCH ST, Pikeville, KY 41501

Secondary Practice Location 1

Location 1604 James S. Trimble BlvdPaintsville, KY 41240 · Phone (606) 789-0303 · Fax (606) 789-0310

Other Identifiers 2

Medicaid64207012KY
Medicaid18036593000WV

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 (PECOS)

Dr. Ahmed Malik Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
70 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
56 services49 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
46 services46 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.
34 services33 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.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Surgery
255 CHURCH ST, SUITE 201
PIKEVILLE, KY 41501
Surgery
255 CHURCH ST, SUITE 201
PIKEVILLE, KY 41501
Otolaryngology
255 CHURCH ST, SUITE 101
PIKEVILLE, KY 41501
Urology
255 CHURCH ST, STE. 202
PIKEVILLE, KY 41501
Surgery
255 CHURCH ST, SUITE 201
PIKEVILLE, KY 41501
Family Medicine
255 CHURCH ST, SUITE 103
PIKEVILLE, KY 41501
Family Medicine
255 CHURCH ST, STE 102B
PIKEVILLE, KY 41501
Specialist
255 CHURCH ST, SUITE 204
PIKEVILLE, KY 41501

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 Ahmed Malik's NPI number?

The NPI number for Ahmed Malik is 1750476834. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Ahmed Malik located?

Ahmed Malik practices at 255 Church St Suite 204, Pikeville, KY 41501. The listed phone number is (606) 432-4104.

What is Ahmed Malik's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ahmed Malik enrolled in Medicare?

Yes. Ahmed Malik is registered in the Medicare PECOS enrollment system.

What insurance does Ahmed Malik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Ahmed 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.

When was this NPI record last updated?

The NPPES record for Ahmed Malik was last updated on February 27, 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.