AYESHA MALLICK IMAM (M.D.) – Internal Medicine Physician, NPI 1306280094
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,893 INTERNAL MEDICINE in NJ
Provider Addresses for AYESHA MALLICK IMAM (M.D.)
150 BERGEN STREET,
SUITE E-401
NEWARK,, NJ 071011709
Phone: (973) 972-5682
Type: Location
100 MEDICAL CENTER DR
SPRINGFIELD, OH 455042687
Phone: (937) 523-4147
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: CSL Behring ($37).
Total Amount
$104
General + Research + Ownership
Payments
5
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CSL Behring | $37 |
| Penumbra, Inc. | $37 |
| ABIOMED | $31 |
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: 2022-07-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220706003160 | I | Internal Medicine | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 179 | 82 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 41 | 33 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 26 | 17 | $0 |
Insurance plans in this area (ZIP 07101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Internal Medicine, Critical Care (Intensivists) | OH | |
| Nurse Practitioner | OH | |
| Pulmonary Disease, Internal Medicine, Sleep Medicine | IN | |
| Nurse Practitioner | PA | |
| Internal Medicine | MD | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine | OK |
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