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NIDA MALIK DO
NPI 1992142483
Family Medicine in Hinsdale, IL

Active since May 24, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
135 N OAK ST, HINSDALE, IL 60521(630) 856-8900(630) 856-8933 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Mar 31, 2021, Nov 17, 2016 (3 updates tracked since 2016).

About Nida Malik Do NPPES

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

NIDA MALIK DO (NPI 1992142483) is an individual family medicine provider in Hinsdale, Illinois, licensed in Illinois (036139838) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in South Elgin.

NPPES Registry Identity

NPI1992142483
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNIDA MALIKCredential: DO
Location Address135 N OAK STHinsdale, IL 60521-3860
Mailing Address135 N Oak StHinsdale, IL 60521-3860 · (630) 856-8900 · Fax (630) 856-8933
Phone(630) 856-8900
Fax(630) 856-8933
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateMay 24, 2013
Last NPPES UpdateMarch 13, 20243 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1992142483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036139838
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.
135 N OAK ST, Hinsdale, IL 60521
Open in Google Maps ↗

Secondary Practice Location 1

Location 1486 Randall Rd Unit BSouth Elgin, IL 60177-3354 · Phone (224) 783-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Nida Malik Do 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 ID1355569302
PECOS Enrollment IDI20161118002237
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

3

Medicare enrollment records show Nida Malik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Midwest Health
0.3 mi
Family Medicine
135 N OAK ST
Hinsdale, IL 60521
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
NPI 1366579443 (630) 856-8900
Advocate Health And Hospitals Corporation
3.3 mi
Multi-Specialty
2025 WINDSOR DR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1700824455 (847) 390-5900
Cepamerica Illinois LLP
6.9 mi
Emergency Medicine
3249 S. OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1548546427 (708) 783-9100

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 4

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.
101 services98 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.
46 services46 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.
17 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60521 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

SUHA ASADULLAH D.O
Student in an Organized Health Care Education/Training Program
135 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-8900
DR. MICHAEL DAVID MUNOZ QUIEN MD
Family Medicine
135 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-8900
KYLE JOHN SCHAFER
Student in an Organized Health Care Education/Training Program
135 N OAK ST
HINSDALE, IL 60521
Dupage County (708) 245-8948
DR. LESLIE SLEUWEN MD
Family Medicine
135 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-6865
ALEXA FREITAG DO
Student in an Organized Health Care Education/Training Program
135 N OAK ST
HINSDALE, IL 60521
Dupage County (708) 606-7470
NATALIE ALBANITO DO
Student in an Organized Health Care Education/Training Program
135 N OAK ST
HINSDALE, IL 60521
Dupage County (708) 606-7470
DR. KIRIL KOLEV MD
Student in an Organized Health Care Education/Training Program
135 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-8900
ERIK LYLE ABRAMSON MD
Student in an Organized Health Care Education/Training Program
135 N OAK ST
HINSDALE, IL 60521
Dupage County (630) 856-8900

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 Nida Malik's NPI number?

The NPI number for Nida Malik is 1992142483. It was assigned to this individual provider in the NPPES registry on May 24, 2013.

Where is Nida Malik located?

Nida Malik practices at 135 N Oak St, Hinsdale, IL 60521. The listed phone number is (630) 856-8900.

What is Nida Malik's specialty?

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

Is Nida Malik enrolled in Medicare?

Yes. Nida 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 Nida Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nida Malik reassigns Medicare benefits to 3 organizations: Adventist Midwest Health (Hinsdale, IL), Advocate Health And Hospitals Corporation (Oak Brook, IL) and Cepamerica Illinois LLP (Berwyn, IL). 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 Nida Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nida Malik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nida 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 Nida Malik affiliated with any hospitals?

According to CMS data, Nida Malik is affiliated with Advocate Sherman Hospital.

When was this NPI record last updated?

The NPPES record for Nida Malik was last updated on March 13, 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.