NPIMap

Individual provider Active NPI

Azhar Ali Malik, M.D.

  • Nephrology Physician
  • Victoria, TX
National Provider Identifier
1366436875
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1220 Issued in TX
Practice address
605 E San Antonio St
Suite 430E
Victoria, TX 77901-6050
Phone
(361) 567-0011
Fax
(361) 576-4084
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M1220 TX Primary

Addresses

Primary practice location

605 E San Antonio St
Suite 430E
Victoria, TX 77901-6050

Mailing address

605 E San Antonio St
Suite 430E
Victoria, TX 77901-6050
Phone (361) 567-0011

Other identifiers 1

IdentifierTypeStateIssuer
174620801MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000752 TX Practitioner - NephrologyPractitioner - Internal Medicine 9931145844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Victoria Kidney and Dialysis AssociatesGroup PAC ID 8820086788, 3 clinicians

Practice addresses (Care Compare)

605 E San Antonio St
Suite 430E
Victoria, TX 77901-6007
Phone (361) 576-0011

Hospital & facility affiliations

  • DaVita Gonzales Dialysis Center Dialysis facility, Gonzales, TX, CCN 452734
  • DaVita Spring Creek Dialysis Dialysis facility, Victoria, TX, CCN 672696
  • DaVita Victoria Dialysis Center Dialysis facility, Victoria, TX, CCN 452658
  • DaVita Victoria Home Dialysis Dialysis facility, Victoria, TX, CCN 742588
  • Liberty Dialysis Victoria Dialysis facility, Victoria, TX, CCN 672663
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • Memorial Hospital Hospital, Gonzales, TX, CCN 450235
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346
  • Pam Specialty Hospital of Victoria North Inpatient rehabilitation facility, Victoria, TX, CCN 45TA94
  • Pam Rehabilitation Hospital of Victoria Inpatient rehabilitation facility, Victoria, TX, CCN 673056

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Hospitalist Associates, LLC CurrentSince Jul 10, 2016 Accepting new patients
Victoria Kidney & Dialysis Associates Nephrology CurrentSince Aug 15, 2005 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

605 E San Antonio St
Ste 430E
Victoria, TX 77901
Phone (361) 576-0011

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Interoperability endpoints

  • Direct secure messaging: amalik635576@christushealth.direct-ci.net
  • Direct secure messaging: azhar.malik@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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 12

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1366436875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST",
            "address_2": "SUITE 430E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016050",
            "telephone_number": "361-567-0011",
            "fax_number": "361-576-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST",
            "address_2": "SUITE 430E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016050",
            "telephone_number": "361-567-0011",
            "fax_number": "361-576-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AZHAR",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174620801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.