Individual provider Active NPI

Ikram Malik, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Pflugerville, TX
National Provider Identifier
1346595741
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
S4653 Issued in TX
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150915000758 GA Practitioner - Physical Medicine and Rehabilitation 0042449282 Reassigns benefits to 1 organization
I20220426000048 TX Practitioner - Interventional Pain Management 0042449282 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2012017436MOMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colquitt Regional Anesthesia, LLC CurrentSince Mar 1, 2021 Accepting new patients
Texas Pain & Orthopedics PLLC Pain Medicine CurrentSince Feb 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.