Individual provider Active NPI

Ayesha Malik

  • Nephrology Physician
  • Kansas City, MO
National Provider Identifier
1376155309
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2025048375 Issued in MO
Practice address
4601 Madison Ave Ste 300
Kansas City, MO 64112-1268
Phone
(816) 531-0552
Fax
(816) 756-2503
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 2025048375 MO Primary

Addresses

Primary practice location

4601 Madison Ave Ste 300
Kansas City, MO 64112-1268

Mailing address

4601 Madison Ave Ste 300
Kansas City, MO 64112-1268
Phone (816) 531-0552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1007 Gambrell St
Greenwood, MO 64034-9676

4320 Wornall Rd
Suite 208
Kansas City, MO 64111-5964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1376155309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MADISON AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121268",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MADISON AVE STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641121268",
            "telephone_number": "816-531-0552",
            "fax_number": "816-756-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AYESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2025048375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.