MALIK MOMIN (M.D.) – Anesthesiology Physician, NPI 1023096708

MALIK MOMIN (M.D.) is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. MD044639-E (PA). The NPI Number for MALIK MOMIN (M.D.) is 1023096708

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MALIK MOMIN (M.D.)
NPI
1023096708
Phone
(717) 652-8670
Address
825 SIR THOMAS CT
Enumeration Date
4 January 2006
Last Update Date
6 January 2010

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7176528670
Graduation Year
1987 (39 years ago)
PAC ID
2769437821
Group Practice PAC ID
8022063171
Professional Enrollment ID
I20050322000437
Address ID
PA171094839HA825XXCTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,825 ANESTHESIOLOGY in PA

Provider Addresses for MALIK MOMIN (M.D.)

  • 825 SIR THOMAS CT

    SUITE B

    HARRISBURG, PA 171094839

    Phone: (717) 652-8670

    Fax: (717) 901-5009

    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 12 Open Payments records for all available years, with a total value of $547.

Total Amount is formed as General ($547) + Research ($0) + Ownership ($0) = $547.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Boston Scientific Corporation ($332).

Total Amount

$547

General + Research + Ownership

Payments

12

Total payment records

General Amount

$547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2005-03-22

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
I20050322000437IAnesthesiologyPATBD

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
62323Injection of substance into lower spine canal using imaging guidance409255$0
99214Established patient office or other outpatient visit, 30-39 minutes197173$0
99213Established patient office or other outpatient visit, 20-29 minutes178164$0
62321Injection of substance into middle or upper spine canal using imaging guidance6145$0
77002Fluoroscopic guidance for needle placement5341$0
View full utilization report →

Insurance plans in this area (ZIP 17109)

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Provider's Procedures

MALIK MOMIN (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA62311Injections of substances into lower or sacral spine508258
ANESTHESIOLOGYPA64493Injections of lower or sacral spine facet joint using imaging guidance3324

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: 8022063171View full group profile
NameSpecialtyState
Physician AssistantVA
Physical Medicine And Rehabilitation, Interventional Pain ManagementPA
Interventional Pain Management, Physical Medicine And RehabilitationPA

Reviews

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Frequently asked questions

Is MALIK MOMIN (M.D.) listed with a National Provider Identifier?
Yes — MALIK MOMIN (M.D.) has NPI 1023096708 on file in the registry.
Would MALIK MOMIN (M.D.) appear as active to a payer?
You can treat MALIK MOMIN (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MALIK MOMIN (M.D.)?
At a glance, MALIK MOMIN (M.D.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is MALIK MOMIN (M.D.) registered?
Use Harrisburg, Pennsylvania as the headline location for MALIK MOMIN (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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