FOUAD MALIK (PA-C) – Physician Assistant, NPI 1790093540

FOUAD MALIK (PA-C) is a healthcare provider. based in Southgate, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601005743 (MI). The NPI Number for FOUAD MALIK (PA-C) is 1790093540

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
FOUAD MALIK (PA-C)
NPI
1790093540
Phone
(989) 892-7722
Address
12100 DIX TOLEDO RD
Enumeration Date
15 September 2010
Last Update Date
17 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7342825502206
Graduation Year
2009 (17 years ago)
PAC ID
6305030933
Group Practice PAC ID
7517994999
Professional Enrollment ID
I20101027001533
Address ID
MI481953531SO12100RDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for FOUAD MALIK (PA-C)

  • 12100 DIX TOLEDO RD

    SOUTHGATE, MI 481953531

    Phone: (989) 892-7722

    Type: Mailing

  • 4615 EASTMAN AVE

    MIDLAND, MI 486402610

    Phone: (989) 631-7110

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $1,814.

Total Amount is formed as General ($1,814) + Research ($0) + Ownership ($0) = $1,814.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($485).

Total Amount

$1,814

General + Research + Ownership

Payments

93

Total payment records

General Amount

$1,814

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-27

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
I20101027001533IPhysician AssistantMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes19167$0
82962Blood glucose (sugar) test performed by hand-held instrument2714$0
96127Assessment of emotional or behavioral problems1818$0
G0008Administration of influenza virus vaccine1616$0
G0444Annual depression screening, 5 to 15 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 48195)

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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: 7517994999View full group profile
NameSpecialtyState
Internal MedicineMI
Physician AssistantMI
Addiction Medicine, General PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to FOUAD MALIK (PA-C)?
The federal identifier for FOUAD MALIK (PA-C) is NPI 1790093540.
Is FOUAD MALIK (PA-C)'s NPI currently valid?
The extract we use shows FOUAD MALIK (PA-C) as active.
What does FOUAD MALIK (PA-C) treat or focus on?
Patients typically see FOUAD MALIK (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for FOUAD MALIK (PA-C)?
The page summarizes Southgate, Michigan for FOUAD MALIK (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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