FARYAL J MALLICK MD
NPI 1962865097
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tampa, FL
About Faryal J Mallick Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARYAL J MALLICK MD (NPI 1962865097) is an individual child & adolescent psychiatry provider in Tampa, Florida, licensed in Florida (ME140149) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 1
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
Faryal J 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.
Medicare Billing Reassignments
3Medicare enrollment records show Faryal Mallick reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Port, FL 34288
- Reassigned Medicare billing, Florida enrollment
- 15 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 492 clinicians in this Medicare group
Smithfield, VA 23430
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Riverside Physician Services Inc
- 1,097 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Regional Medical Center
Acute Care Hospitals · Newport News, VAFrequently 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 Faryal Mallick's NPI number?
The NPI number for Faryal Mallick is 1962865097. It was assigned to this individual provider in the NPPES registry on April 5, 2016.
Where is Faryal Mallick located?
Faryal Mallick practices at 14003 N Dale Mabry Hwy Ste C, Tampa, FL 33618. The listed phone number is (813) 461-7797.
What is Faryal Mallick's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Faryal Mallick enrolled in Medicare?
Yes. Faryal 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.
Which organizations bill Medicare for Faryal Mallick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Faryal Mallick reassigns Medicare benefits to 3 organizations: North Port Bh, LLC (North Port, FL), Hni Medical Services Of Florida, LLC (Jacksonville, FL) and Riverside Physcian Services Inc (Smithfield, VA). 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 Faryal Mallick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Faryal Mallick accept?
Health plans from AmeriHealth Caritas Next, Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Faryal 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 Faryal Mallick affiliated with any hospitals?
According to CMS data, Faryal Mallick is affiliated with Riverside Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Faryal Mallick was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Faryal J Mallick, MD · NPI 1962865097
Child & Adolescent Psychiatry physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since April 5, 2016.
## Identity
- **NPI:** 1962865097 (Entity type: Individual)
- **Enumerated:** April 5, 2016
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** ME140149 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 14003 N DALE MABRY HWY STE C, Tampa, FL 33618-2459
- **Phone:** (813) 461-7797
## 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): North Port Bh, LLC (NPI 1063258598, North Port, FL); Hni Medical Services Of Florida, LLC (NPI 1679048284, Jacksonville, FL); Riverside Physcian Services Inc (NPI 1053104638, Smithfield, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 20, 2025
- **Other identifiers:** Medicaid 7100572460 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1962865097) · Data from the CMS NPPES public registry.