Individual provider Active NPI

Malik Naz Kalimuddin, M.D

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
National Provider Identifier
1386787653
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
M5268 Issued in TX
Practice address
1438 Campbell Rd Ste 106
Houston, TX 77055-4647
Phone
(281) 409-2958
Fax
(812) 402-1990
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X M5268 TX Primary

Addresses

Primary practice location

1438 Campbell Rd Ste 106
Houston, TX 77055-4647

Mailing address

213 Mayerling Dr
Houston, TX 77024-6423
Phone (281) 409-2958

Other identifiers 1

IdentifierTypeStateIssuer
186102301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000362 TX Practitioner - Psychiatry 1759472004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Harris Center for Mental Health and IddGroup PAC ID 9739088790, 122 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 970-7000

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
78.41
Improvement activities
40
Cost
77.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Harris Center for Mental Health and Idd CurrentSince Mar 5, 2007 Accepting new patients
Malik Naz, M.D., P.a CurrentSince Aug 21, 2008 Accepting new patients
Dilek Wise Inc Past Accepting new patients

Locations

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

1458 Campbell Rd
Ste 250A
Houston, TX 77055
Phone (281) 409-2958

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

1438 Campbell Rd
Ste 106
Houston, TX 77055
Phone (281) 409-2958

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1386787653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MAYERLING DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246423",
            "telephone_number": "281-409-2958",
            "fax_number": "713-467-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 CAMPBELL RD STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554647",
            "telephone_number": "281-409-2958",
            "fax_number": "812-402-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIMUDDIN",
        "first_name": "MALIK",
        "middle_name": "NAZ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "M5268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186102301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.