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Dr. Malik Ahmed Nizamuddin , DO

Internal Medicine โ€ข Everett, WA

Active NPI 1235663063 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2930 Maple St
Everett, WA 982013832

Call 4252611500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2930 Maple St

Everett, WA 982013832

Telephone 4252611500
Fax 4252611515
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Washington Facility NPI 1386935351

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Mount Vernon, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Kaiser Foundation Health Plan Of Washington. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Pacific Nw Un Of Hs, Col Of Osteopathic Medicine

Graduation Year

2017

Medicare-allowed amount

About $15,365 in 2022

The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

Paid by Medicare

About $11,842 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2022.

30-day fills

221 standardized 30-day fills in 2020

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,448 in 2020

The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2020.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Nizamuddin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Nizamuddin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Everett and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Nizamuddin are from 2022.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Nizamuddin are from 2020.

174 active clinicians are listed under Internal Medicine with a practice address in Everett, WA (3,081 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

12.1% of these 174 clinicians have the CMS telehealth indicator.

71.8% of these 174 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B ยท Data Year 2022
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2020โ€“2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
100 42 $721.81 $101.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
25 14 $419.70 $67.65
99239 Hospital discharge day management, more than 30 minutes
19 19 $707.77 $99.26
99226 Subsequent observation care, typically 35 minutes per day
16 12 $712.77 $100.26

Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2020.

CMS Part D ยท Data Year 2020
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 26 1,218 $481.53 โ€”
Lisinopril Lisinopril 24 1,320 $145.83 โ€”
Montelukast Sodium Montelukast Sodium 18 810 $381.41 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 16 498 $381.91 โ€”
Gabapentin Gabapentin 15 730 $807.73 โ€”
Atorvastatin Calcium Atorvastatin Calcium 14 1,005 $124.75 โ€”
Losartan Potassium Losartan Potassium 12 900 $125.00 โ€”

Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-11
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES WA OP61054222

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20200817001399

Enrollment State Jurisdiction

WA

PECOS Control ID

7012252232

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Kaiser Foundation Health Plan Of Washington

2930 Maple St, Everett, WA 982013832

Phone: 4252611500

Secondary Practice Locations

1415 E Kincaid St

Mount Vernon, WA 982744126

Phone: 3608142115

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Kathryn Adair , ARNP

Nurse Practitioner - Family

NPI 1689354458

Advanced Registered Nurse Practitioner

Dr. Paul Adams , DO

Internal Medicine

NPI 1376921288

Doctor of Osteopathic Medicine (D.O.)

Dr. Baljit Banga , MD

Internal Medicine

NPI 1780808014

Doctor of Medicine (M.D.)

Tobias Bengston

Physician Assistant

NPI 1336667914
Dr. Neeta Bhogal , MD

Family Medicine

NPI 1154473833

Doctor of Medicine (M.D.)

NPI 1942343777

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location August 11, 2020

Registered at 2930 MAPLE ST, EVERETT, WA 982013832 (Tel: 4252611500)

๐Ÿ“
Updated Business Mailing Address August 11, 2020

Registered at 2930 MAPLE ST, EVERETT, WA 982013832 (Tel: 4252611500)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2020

Internal Medicine (license number reported to NPPES: WA OP61054222)

โœ…
NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 19, 2017

Registered at 1415 E KINCAID ST, MOUNT VERNON, WA 982744126 (Tel: 3608142115)

๐Ÿ“
Business Mailing Address (Initial Record) April 19, 2017

Registered at 1415 E KINCAID ST, MOUNT VERNON, WA 982744126 (Tel: 3608142115)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 19, 2017

Recorded as MALIK NIZAMUDDIN, D.O

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235663063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2017
Last Update: April 28, 2021
Sole Proprietor: No

Other Internal Medicine Providers in Everett

All Internal Medicine Providers in Everett

Mailing Address

2930 Maple St

Everett, WA 982013832

Phone: 4252611500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.