Individual provider Active NPI

Amir Zulfikar Malik, MD

  • Interventional Cardiology Physician
  • Fort Worth, TX
National Provider Identifier
1568413417
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
K5146 Issued in TX
Practice address
1017 12TH Ave
Fort Worth, TX 76104-3915
Phone
(817) 334-2800
Fax
(817) 820-0094
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X K5146 TX Primary
Cardiovascular Disease Physician 207RC0000X K5146 TX

Addresses

Primary practice location

1017 12TH Ave
Fort Worth, TX 76104-3915

Mailing address

1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800

Other practice location 1

1401 8th Ave
Fort Worth, TX 76104-4111
Phone (817) 920-7665

Other practice location 2

1400 8th Ave
Fort Worth, TX 76104-4110
Phone (817) 927-6224

Other identifiers 5

IdentifierTypeStateIssuer
1298804-04MedicaidTX
5486665OtherTXAETNA PROVIDER ID
86460KOtherTXBCBS
1298804-02MedicaidTX
10024701OtherTXAMERIGROUP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amir.malik@direct.hcnt.nextgenshare.com Health Information Exchange (HIE)

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
I20061025000104 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315944964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Center of North Texas PAGroup PAC ID 5092798694, 16 clinicians
Makd Heart and Vascular LLCGroup PAC ID 6507169018, 3 clinicians

Practice addresses (Care Compare)

1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800

1401 8TH Ave
Fort Worth, TX 76104-4111
Phone (817) 920-7665

920 Hilltop Dr
Weatherford, TX 76086-5488
Phone (817) 613-9082

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.96 of 100Reported as group
Quality
81.53
Promoting interoperability
100
Improvement activities
40
Cost
74.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting99
Pacemaker insertion or repair27
Varicose vein removal1-10
Leg revascularization (restoring blood flow)34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of North Texas, PA Cardiovascular Disease CurrentSince Jul 1, 1998 Accepting new patients
Makd Heart & Vascular LLC Cardiovascular Disease CurrentSince Jan 11, 2016 Accepting new patients
Heart Center of North Texas, PA Cardiovascular Disease CurrentSince Jun 27, 2021 Accepting new patients

Locations

1017 12th Ave
Fort Worth, TX 76104

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

1200 Crawford Ave
Ste A
Granbury, TX 76048
Phone (817) 573-3447

351 E Tarleton St
Stephenville, TX 76401
Phone (254) 968-0292

920 Hilltop Dr
Weatherford, TX 76086
Phone (817) 613-9082

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amir.malik@hca7.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1568413417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "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": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044111",
            "country_code": "US",
            "telephone_number": "817-920-7665",
            "fax_number": "817-920-7699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-927-6224",
            "fax_number": "817-927-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AMIR",
        "middle_name": "ZULFIKAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "K5146",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "K5146",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1298804-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "5486665",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86460K",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1298804-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10024701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amir.malik@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1017 12th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.