PRAMOD MALIK (M.D.) – Gastroenterology Physician, NPI 1902882954
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
Provider Addresses for PRAMOD MALIK (M.D.)
4017 River Park Dr
Suffolk, VA 234353356
Phone: (757) 725-1984
Type: Location
Bridge Road, Bennett Creek, Suffolk, Virginia, 23435, United States
SUFFOLK, VA 234351107
Phone: (757) 942-2566
Fax: (855) 313-1070
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 147 Open Payments records for all available years, with a total value of $3,136.
Total Amount is formed as General ($3,136) + Research ($0) + Ownership ($0) = $3,136.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($661).
Total Amount
$3,136
General + Research + Ownership
Payments
147
Total payment records
General Amount
$3,136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $661 |
| Janssen Biotech, Inc. | $566 |
| Takeda Pharmaceuticals U.S.A., Inc. | $413 |
| Ardelyx, Inc. | $134 |
| Medical Device Business Services, Inc. | $112 |
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: 2005-01-13
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 |
|---|---|---|---|---|
| I20050113000092 | I | Gastroenterology | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 208 | 174 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 180 | 179 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 140 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 101 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 107 | 107 | $0 |
Insurance plans in this area (ZIP 23435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | VA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 68 | 67 |
| GASTROENTEROLOGY | VA | 45378 | Diagnostic examination of large bowel using an endoscope | 27 | 26 |
| GASTROENTEROLOGY | VA | 45385 | Removal of polyps or growths of large bowel using an endoscope | 95 | 95 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Physician Assistant | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Nurse Practitioner | VA |
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