Active NPI
Nadia Malik M.D PA
- Internal Medicine Physician
- Grapevine, TX
National Provider Identifier
1497026751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M9478
- Legal business name
- NADIA MALIK M.D PA
- Practice address
- 4100 Heritage Ave Ste 105
Grapevine, TX 76051-5716 - Phone
- (682) 999-8446
- NPI assigned
- Jan 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nadia Malik, MD
- Title
- Owner
- Phone
- (817) 458-1525
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M9478 | TX | Primary |
Addresses
Primary practice location
4100 Heritage Ave Ste 105
Grapevine, TX 76051-5716
Mailing address
1009 High Hawk TRL
Euless, TX 76039-5837
Phone (817) 458-1525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4100 Heritage Ave
Ste 105
Grapevine, TX 76051
Phone (682) 999-8446
4100 Heritage Ave
Ste 102
Grapevine, TX 76051
Phone (682) 999-8446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Grapevine, TX
- NPI 1891834172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577491200000",
"number": "1497026751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 HIGH HAWK TRL",
"city": "EULESS",
"state": "TX",
"postal_code": "760395837",
"telephone_number": "817-458-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 HERITAGE AVE STE 105",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515716",
"telephone_number": "682-999-8446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADIA MALIK M.D PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-18",
"last_updated": "2019-12-28",
"certification_date": "2019-12-28",
"status": "A",
"authorized_official_last_name": "MALIK",
"authorized_official_first_name": "NADIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-458-1525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "M9478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.