Organization Active NPI

Makd Heart & Vascular LLC

  • Cardiovascular Disease Physician
  • Fort Worth, TX
National Provider Identifier
1376918292
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MAKD HEART & VASCULAR LLC
Practice address
1401 8TH Avenue
Fort Worth, TX 76104-3915
Phone
(817) 334-2800
Fax
(817) 820-0094
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
Dr. Amir Zulfikar Malik, M.D.NPI 1568413417
Title
President
Phone
(817) 334-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1401 8TH Avenue
Fort Worth, TX 76104-3915

Mailing address

1904 Canterbury Drive
Fort Worth, TX 76107-0000
Phone (817) 334-2800

Other identifiers 1

IdentifierTypeStateIssuer
0802319078OtherTXTEXAS SOS FILE NUMBER

Other names 1

  • North Texas Heart and Vascular Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160115001745 TX Part B Supplier - Clinic/Group Practice 6507169018 Receives reassigned benefits from 7 practitioners
Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2128834Makd Heart & Vascular Dba1401 8TH Avenue, Fort Worth, TX 76104AccreditationDec 10, 2027

National Provider Directory

National Provider Directory

Locations

1401 8th Ave
Ft Worth, TX 76104
Phone (817) 334-2831

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1376918292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CANTERBURY DRIVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761070000",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 8TH AVENUE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKD HEART & VASCULAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "ZULFIKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-334-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS SOS FILE NUMBER",
            "identifier": "0802319078",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Heart and Vascular Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.