Lynette Malik, M.D.
Lynette Malik, M.D. is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Portland, OR, registered under NPI 1023209897. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 3600 N INTERSTATE AVE DEPARTMENT OF PHYSICAL MEDICINE, Portland, OR 97227. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD163117 | OR | Sports Medicine (Physical Medicine &… primary |
| 125053433 | IL | Physical Medicine & Rehabilitation… |
| 2011033713 | MO | Physical Medicine & Rehabilitation… |
Licences are recorded in 3 states: OR, IL, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Medicine And Rehabilitation
- PAC ID
- 6305003831
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Oregon | I20131026000130 | Practitioner - Physical Medicine And Rehabilitation |
| Washington | I20210415001388 | Practitioner - Psychiatry |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. There are 2 separate enrolment records across 2 states (OR, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Illinois, Missouri and Oregon. The practice address on file is in Portland, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 125053433
- Specialty
- Physical Medicine & Rehabilitation…
- Licence
- 2011033713
- Specialty
- Physical Medicine & Rehabilitation…
- Licence
- MD163117
- Specialty
- Sports Medicine (Physical Medicine &…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Sports Medicine covers
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. NUCC Health Care Provider Taxonomy, code 2081S0010X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician Sports Medicine | MD163117 | OR | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | 125053433 | IL | |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2011033713 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1023209897 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 7, 2007 |
| Last updated | Nov 13, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
3600 N INTERSTATE AVE DEPARTMENT OF PHYSICAL MEDICINE Portland, OR 97227 (503) 331-3070 Fax (503) 331-3089 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 2 | 3 | 2 | 0 | 9 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 4 | 3 | 4 | 0 | 9 | 8 | 9 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.