Individual provider Active NPI

Mohammad Ibrahim Malik, M.D.

  • Internal Medicine Physician
  • Irving, TX
National Provider Identifier
1326200874
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0994 Issued in TX
Practice address
1901 N Macarthur Blvd
Baylor Medical Center at Irving
Irving, TX 75061-2220
Phone
(972) 579-8100
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 249148 NY
Internal Medicine Physician 207R00000X P0994 TX Primary

Addresses

Primary practice location

1901 N Macarthur Blvd
Baylor Medical Center at Irving
Irving, TX 75061-2220

Mailing address

346 Noah TRL
Allen, TX 75013-6415
Phone (516) 710-0148

Other identifiers 1

IdentifierTypeStateIssuer
03047532MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmalik222589@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000888 TX Practitioner - Internal Medicine 9739241894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity MD PLLCGroup PAC ID 0345660080, 15 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

Fort Worth, TX 76116
Phone (817) 946-2051

1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Arlington, TX, CCN 677830
  • Three Oaks Hospice Hospice, Richardson, TX, CCN 671762
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Avante Rehabilitation Center Nursing home, Irving, TX, CCN 675908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0994TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity MD LLC CurrentSince Nov 15, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 26, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Feb 26, 2024 Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Hamilton County Hospital District Past Accepting new patients
Baylor Medical Center at Irving Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1901 N MacArthur Blvd
Irving, TX 75061
Phone (972) 484-5192

2001 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (972) 579-8485

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avante Rehabilitation CenterIrving, TX, CCN 675908 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2023
Jun 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1326200874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 NOAH TRL",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136415",
            "telephone_number": "516-710-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "address_2": "BAYLOR MEDICAL CENTER AT IRVING",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612220",
            "telephone_number": "972-579-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "MOHAMMAD",
        "middle_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "249148",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03047532",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmalik222589@direct.sw.org",
            "affiliation": "N",
            "address_1": "2001 N MacArthur Blvd Ste 520",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750612256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.