SAADUL AKBAR MALLAM (MD) – Internal Medicine Physician, NPI 1164058103

SAADUL AKBAR MALLAM (MD) is a healthcare provider. based in Newark, New Jersey. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA11728300 (NJ). The NPI Number for SAADUL AKBAR MALLAM (MD) is 1164058103

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SAADUL AKBAR MALLAM (MD)
NPI
1164058103
Phone
(917) 926-7000
Address
201 LYONS AVE
Enumeration Date
22 March 2020
Last Update Date
14 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6034365110
Graduation Year
2020 (6 years ago)
PAC ID
4981062320
Group Practice PAC ID
8527423706
Professional Enrollment ID
I20240514001857
Address ID
NH038017128PO333XXAVEX300

Contacts

Main Contact
RWJBarnabas
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

871 HOSPITALIST in NJ

Provider Addresses for SAADUL AKBAR MALLAM (MD)

  • 201 LYONS AVE

    NEWARK, NJ 071122027

    Phone: (917) 926-7000

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2023-05-22 • Largest payer in this snapshot: ABBVIE INC. ($118).

Total Amount

$149

General + Research + Ownership

Payments

3

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-22

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: 2024-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230616002698IHospitalistNJTBD
I20240514001857IInternal MedicineNHTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes258111$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes113111$0
99239Hospital discharge day management, more than 30 minutes9188$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7343$0
View full utilization report →

Insurance plans in this area (ZIP 07112)

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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: 8527423706View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineNH
Family PracticeNH
Internal MedicineMI
Nephrology, Internal Medicine, NephrologyMA
Family PracticeME
Internal MedicineNH
Internal MedicineNY
Internal MedicineNY
Internal MedicineNH

Reviews

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Frequently asked questions

Can I use this page to confirm SAADUL AKBAR MALLAM (MD)'s NPI?
Yes. SAADUL AKBAR MALLAM (MD) is listed with NPI 1164058103 in the public NPI dataset.
Can I rely on SAADUL AKBAR MALLAM (MD) being an active provider?
As of the registry snapshot, SAADUL AKBAR MALLAM (MD) is marked active.
What is SAADUL AKBAR MALLAM (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for SAADUL AKBAR MALLAM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for SAADUL AKBAR MALLAM (MD)?
SAADUL AKBAR MALLAM (MD)'s geographic hint is Newark, New Jersey in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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