ADAM MALIK (DO) – Psychiatry Physician, NPI 1407434665

ADAM MALIK (DO) is a healthcare provider. based in Du bois, Pennsylvania. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. 20A2484 (CA). The NPI Number for ADAM MALIK (DO) is 1407434665

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ADAM MALIK (DO)
NPI
1407434665
Phone
(814) 375-6337
Address
100 HOSPITAL AVE
Enumeration Date
30 March 2021
Last Update Date
4 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7035439948
Graduation Year
2021 (5 years ago)
PAC ID
4981062759
Group Practice PAC ID
5991241986
Professional Enrollment ID
I20260312000483
Address ID
VA201511775CH14554RDXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

1,871 PSYCHIATRY in PA

Provider Addresses for ADAM MALIK (DO)

  • 100 HOSPITAL AVE

    DU BOIS, PA 158011440

    Phone: (814) 375-6337

    Type: Location

  • 635 Maple Avenue

    DuBois, PA 15801

    Phone: (845) 238-1120

    Type: Location

  • 6 HIGH MEADOW RD

    GOSHEN, NY 109245330

    Phone: (845) 238-1120

    Type: Location

  • 3200 E GUASTI RD STE 100

    ONTARIO, CA 917618661

    Phone: (909) 789-0260

    Type: Location

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: 2026-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20250818000009IPsychiatryPATBD
I20251209000476IPsychiatryVATBD
I20260312000483IPsychiatryDCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15801)

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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: 5991241986View full group profile
NameSpecialtyState
P S Y C H I A T R YNY
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerNV
Nurse PractitionerVA
P S Y C H I A T R YTX
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What is the registry number for ADAM MALIK (DO)?
The registry entry for ADAM MALIK (DO) shows NPI 1407434665.
Should I treat ADAM MALIK (DO) as an active provider?
Patients and plans typically see ADAM MALIK (DO) as active in the national extract.
Which specialty label fits ADAM MALIK (DO)?
NPPES ties ADAM MALIK (DO) to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ADAM MALIK (DO)?
ADAM MALIK (DO) is associated with Du Bois, Pennsylvania in the same public data insurers reference.
Who maintains ADAM MALIK (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.