Active NPI
Kashif Munir Malik, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A201520
- Practice address
- 1620 W Harrison St
Chicago, IL 60612-3801 - Phone
- (602) 206-1733
- NPI assigned
- May 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036165517 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A201520 | CA | Primary |
Addresses
Primary practice location
1620 W Harrison St
Chicago, IL 60612-3801
Mailing address
2020 W Mesquite St
Chandler, AZ 85224-1734
Phone (602) 206-1733
Other practice location 1
1510 E Herndon Ave Ste 210
Fresno, CA 93720-3333
Phone (559) 450-7455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Arizona College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1510 E Herndon Ave
Suite 210
Fresno, CA 93720-3333
Phone (559) 450-7200
Hospital & facility affiliations
- Saint Agnes Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A201520 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 036165517 | IL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Agnes Medical Foundation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| LQMG Medical Group Inc. | Current | Accepting new patients |
Locations
1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1510 E Herndon Ave
Ste 210
Fresno, CA 93720
Phone (559) 450-2274
Interoperability endpoints
- kmalik4463536@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1306337738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W MESQUITE ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852241734",
"telephone_number": "602-206-1733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123801",
"telephone_number": "602-206-1733"
}
],
"practiceLocations": [
{
"address_1": "1510 E Herndon Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203333",
"country_code": "US",
"telephone_number": "559-450-7455",
"fax_number": "559-450-7473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "KASHIF",
"middle_name": "MUNIR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036165517",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A201520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.