Organization Active NPI

Malik M Ali LLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1225596018
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MALIK M ALI LLC
Practice address
2003 Courtland Dr
Frisco, TX 75034-3634
Phone
(817) 296-6224
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Malik M Ali, DONPI 1053536789
Title
Provider
Phone
(210) 417-4595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2003 Courtland Dr
Frisco, TX 75034-3634

Mailing address

2003 Courtland Dr
Frisco, TX 75034-3634
Phone (210) 417-4595

Other names 1

  • Malik M Ali Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ajackson@pcrsclaims.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190501001595 TX Part B Supplier - Clinic/Group Practice 8022350636 Receives reassigned benefits from 5 practitioners
Practice locations: Frisco, TX; McKinney, TX; Princeton, TX; Prosper, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEFIBD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1225596018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 COURTLAND DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343634",
            "telephone_number": "210-417-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 COURTLAND DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343634",
            "telephone_number": "817-296-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIK M ALI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "210-417-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ajackson@pcrsclaims.com",
            "affiliation": "N",
            "address_1": "2003 Courtland Dr",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750343634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Malik M Ali",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.