Organization Active NPI

Mesquite Heart Center, P.a.

  • Cardiovascular Disease Physician
  • Mesquite, TX
National Provider Identifier
1568428381
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E6487 Issued in TX
Legal business name
MESQUITE HEART CENTER, P.A.
Practice address
1601 N. Belt Line Rd.
Suite C
Mesquite, TX 75149-1791
Phone
(972) 279-3500
Fax
(972) 279-3505
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. Saleem H Mallick, M.D.
Title
President
Phone
(972) 279-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X E6487 TX Primary

Addresses

Primary practice location

1601 N. Belt Line Rd.
Suite C
Mesquite, TX 75149-1791

Mailing address

PO Box 850347
Mesquite, TX 75185-0347
Phone (972) 279-3500

Other identifiers 2

IdentifierTypeStateIssuer
0086EBOtherTXBCBS
109366803MedicaidTX

National Provider Directory

National Provider Directory

Locations

2704 N Galloway Ave
Ste 103
Mesquite, TX 75150
Phone (214) 660-2500

Practitioners & affiliated clinicians

Practitioners 1

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": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1568428381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850347",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751850347",
            "telephone_number": "972-279-3500",
            "fax_number": "972-279-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N. BELT LINE RD.",
            "address_2": "SUITE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491791",
            "telephone_number": "972-279-3500",
            "fax_number": "972-279-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE HEART CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "MALLICK",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-279-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E6487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0086EB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109366803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.