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DR. ZULFIQAR A. MALIK M.D., PHD
NPI 1841364908
Internal Medicine - Hematology & Oncology in Marietta, GA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
340 KENNESTONE HOSPITAL BLVD STE 100, MARIETTA, GA 30060(770) 281-5100(678) 581-7100 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 26, 2022, Sep 21, 2021, Mar 19, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Zulfiqar A. Malik M.d., Phd NPPES

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

DR. ZULFIQAR A. MALIK M.D., PHD (NPI 1841364908) is an individual hematology & oncology provider in Marietta, Georgia, licensed in Georgia (91031) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2001).

NPPES Registry Identity

NPI1841364908
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ZULFIQAR A. MALIKCredential: M.D., PHD
Location Address340 KENNESTONE HOSPITAL BLVD STE 100Marietta, GA 30060-1158
Mailing Address531 Roselane St Nw Ste 710Marietta, GA 30060-6975 · (678) 331-3297 · Fax (678) 581-7187
Phone(770) 281-5100
Fax(678) 581-7100
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2001
Enumeration DateNovember 20, 2006
Last NPPES UpdateApril 26, 20226 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1841364908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in GA · 91031✔ Licensed in NY · 286865✔ Licensed in TX · M1221
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
340 KENNESTONE HOSPITAL BLVD STE 100, Marietta, GA 30060
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Other Identifiers 6

Other1841364908GA · Npi Number
Other50015854KY · Passport
OtherP00688327KY · Rr Medicare
Medicaid176708901TX
Medicaid200884400IN
Medicaid7100012090KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Zulfiqar A. Malik M.d., Phd 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 ID244265684
PECOS Enrollment IDI20220411001927
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

2

Medicare enrollment records show Zulfiqar Malik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
Same address
Radiation Oncology
320 KENNESTONE HOSPITAL BLVD, SUITE LL1
Marietta, GA 30060
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1184990145 (770) 793-7500
North Shore Hematology Oncology Associates PC
792 mi
Specialist
49 NESCONSET HWY
Port Jefferson Station, NY 11776
  • Reassigned Medicare billing, New York enrollment
  • 636 clinicians in this Medicare group
NPI 1396794574 (631) 751-3000

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.

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.
330 services156 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
209 services68 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.
176 services140 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.
106 services106 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.
84 services37 patients
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.
44 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

JENNIFER GRIMM PA-C
Physician Assistant
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 402-6438
MS. MEGAN NICHOLE DALTON PA-C
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. STEVEN LELAND MCCUNE MD, PHD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
GARRETT MCBROOM PA
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MRS. ROSEMARY ELAINE TAORMINA AGPCNP-BC
Nurse Practitioner (Gerontology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. RAUL H. OYOLA MD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
DR. DON W SHAFFER MD
Internal Medicine (Hematology & Oncology)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100
MRS. LAUREN K RICKOFF PA-C
Physician Assistant (Medical)
340 KENNESTONE HOSPITAL BLVD STE 100
MARIETTA, GA 30060
Cobb County (770) 281-5100

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 Zulfiqar Malik's NPI number?

The NPI number for Zulfiqar Malik is 1841364908. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Zulfiqar Malik located?

Zulfiqar Malik practices at 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060. The listed phone number is (770) 281-5100.

What is Zulfiqar Malik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Zulfiqar Malik enrolled in Medicare?

Yes. Zulfiqar 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 Zulfiqar Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zulfiqar Malik reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and North Shore Hematology Oncology Associates PC (Port Jefferson Station, NY). 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 Zulfiqar Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zulfiqar Malik accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Zulfiqar 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 Zulfiqar Malik affiliated with any hospitals?

According to CMS data, Zulfiqar Malik is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Zulfiqar Malik was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.