Active NPI
Ikram Malik, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Pflugerville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- S4653
- Practice address
- 201 N Heatherwilde Blvd Apt 202
Pflugerville, TX 78660-6448 - Phone
- (512) 738-8811
- Fax
- (512) 290-9213
- NPI assigned
- Jul 21, 2012
- Last updated
- Aug 3, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2012017436 | MO | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 74399 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | S4653 | TX | Primary |
Addresses
Primary practice location
201 N Heatherwilde Blvd Apt 202
Pflugerville, TX 78660-6448
Mailing address
201 N Heatherwilde Blvd Apt 202
Pflugerville, TX 78660-6448
Phone (512) 738-8811
Other names 1
- Dr. Ike Malik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
201 N Heatherwilde Blvd
Apt 202
Pflugerville, TX 78660-6448
Phone (512) 738-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012017436 | MO | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colquitt Regional Anesthesia, LLC | Current | Accepting new patients | |
| Texas Pain & Orthopedics PLLC | Pain Medicine | Current | Accepting new patients |
Locations
3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769
201 N Heatherwilde Blvd
Ste 202
Pflugerville, TX 78660
Phone (512) 738-8811
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECFGCD/Endpoint/ECFGCD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Pflugerville, TX
- NPI 1245981646
-
- Specialist
- Moultrie, GA
- NPI 1154580512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1346595741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N HEATHERWILDE BLVD APT 202",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786606448",
"telephone_number": "512-738-8811",
"fax_number": "512-738-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N HEATHERWILDE BLVD APT 202",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786606448",
"telephone_number": "512-738-8811",
"fax_number": "512-290-9213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIK",
"first_name": "IKRAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-21",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2012017436",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "74399",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "S4653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IKE",
"last_name": "MALIK",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.