JAWED AKHTER MALLICK (APRN) – Adult Health Nurse Practitioner, NPI 1376191023

JAWED AKHTER MALLICK (APRN) is a healthcare provider. based in Ocoee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11003832 (FL). The NPI Number for JAWED AKHTER MALLICK (APRN) is 1376191023

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JAWED AKHTER MALLICK (APRN)
NPI
1376191023
Phone
(321) 843-1378
Address
10000 W COLONIAL DR
Enumeration Date
27 August 2019
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862544000
Graduation Year
2019 (7 years ago)
PAC ID
4284966045
Group Practice PAC ID
1254238090
Professional Enrollment ID
I20191028001877
Address ID
FL321142709DA303XXBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for JAWED AKHTER MALLICK (APRN)

  • West Colonial Drive, Ocoee, Orange County, Florida, 34761, United States

    OCOEE, FL 347613400

    Phone: (321) 843-1378

    Fax: (321) 843-5177

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191028001877INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3933$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2320$0
View full utilization report →

Insurance plans in this area (ZIP 34761)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254238090View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
U R O L O G YFL
Internal Medicine, Hematology/OncologyFL
Family PracticeFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
--
Emergency MedicineFL
Nurse PractitionerTN

Reviews

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Frequently asked questions

How is JAWED AKHTER MALLICK (APRN) identified in CMS data?
CMS-hosted NPPES data lists JAWED AKHTER MALLICK (APRN) with NPI 1376191023.
Does the file indicate JAWED AKHTER MALLICK (APRN) is practicing under active NPI?
Directory data currently reports JAWED AKHTER MALLICK (APRN) as active.
What is JAWED AKHTER MALLICK (APRN)'s specialty?
The listing groups JAWED AKHTER MALLICK (APRN) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JAWED AKHTER MALLICK (APRN) on a map?
Expect Ocoee, Florida as a primary anchor for JAWED AKHTER MALLICK (APRN) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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