Active NPI
Brian Ibrahim Malki, M.D.
- Anesthesiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- E13184
- Practice address
- 108 N Shackleford Rd
Little Rock, AR 72211-2840 - Phone
- (844) 215-8731
- Fax
- (888) 630-8885
- NPI assigned
- Jun 2, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | E13184 | AR | Primary |
Addresses
Primary practice location
108 N Shackleford Rd
Little Rock, AR 72211-2840
Mailing address
108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (586) 488-8464
Other practice location 1
4201 St. Antoine St
9C-Uhc
Detroit, MI 48201
Phone (313) 745-5146 ext. 5147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-13184 | Other | AR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 SE 28TH St
Suite 8
Bentonville, AR 72712-0076
Phone (501) 773-6993
Hospital & facility affiliations
- Conway Regional Medical Center, Inc
- Ozark Health
- St Marys Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E13184 | AR | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Treatment Centers of America PLLC | Current | Accepting new patients | |
| Pain Treatment Centers of America, PLLC | Current | Accepting new patients | |
| Hot Springs Ambulatory Surgery Center, LLC | Past | Accepting new patients | |
| Conway Ambulatory Surgery Center, LLC | Past | Accepting new patients |
Locations
1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541
2902 Mid Cities Dr
Bentonville, AR 72712
Phone (870) 916-5500
1502 SE 28th St
Ste 8
Bentonville, AR 72712
Phone (479) 273-1033
2425 Dave Ward Dr
Ste 301
Conway, AR 72034
Phone (501) 392-9065
2425 Dave Ward Dr
Ste 302
Conway, AR 72034
148 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 346-8116
108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116
9 Freeway Dr
Little Rock, AR 72204
Phone (501) 280-0707
4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1841619731
-
- Durable Medical Equipment & Medical Supplies
- Harrison, AR
- NPI 1821972225
-
- Ambulatory Surgical Clinic/Center
- Conway, AR
- NPI 1467089599
-
- Ambulatory Surgical Clinic/Center
- Hot Springs, AR
- NPI 1346878303
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
-
- Critical Access Hospital
- Clinton, AR
- NPI 1992760342
-
- General Acute Care Hospital
- Russellville, AR
- NPI 1033160049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1346620697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112840",
"telephone_number": "586-488-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 N SHACKLEFORD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112840",
"telephone_number": "844-215-8731",
"fax_number": "888-630-8885"
}
],
"practiceLocations": [
{
"address_1": "4201 St. Antoine St",
"address_2": "9C-UHC",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48201",
"country_code": "US",
"telephone_number": "313-745-5146 x5147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALKI",
"first_name": "BRIAN",
"middle_name": "IBRAHIM",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E13184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E-13184",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.