Tilak K Mallik MD Face LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

4776R Issued in LA

Legal business name

TILAK K MALLIK MD FACE LLC

Practice address

1111 Medical Center Blvd
Suite S113
Marrero, LA 70072

Phone

(504) 349-6520

Fax

(504) 349-6522

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Baishali Mallik

Title

Office Manager

Phone

(504) 349-6521

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tilak Kumar Mallik, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Marrero, LA
  • NPI 1437160959
  Medicare reassignment Care Compare group
• Maria-Azucena Mercado Ramos, FNP

  • Family Nurse Practitioner
  • Marrero, LA
  • NPI 1710146196
  Medicare reassignment Care Compare group
• Michelle Haggar, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Covington, LA
  • NPI 1770757007

  Multi-Specialty

  Medicare reassignment NPD
• Maria A. Incer-Obando, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Belle Chasse, LA
  • NPI 1194777078
  Medicare reassignment NPD
• Gabriela Marie Perez, APRN

  • Family Nurse Practitioner
  • Marrero, LA
  • NPI 1366095465
  Medicare reassignment NPD
• Monica Kaleianuenue Langan, ARNP

  • Family Nurse Practitioner
  • Marrero, LA
  • NPI 1255717369
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568508976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S113",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6520",
            "fax_number": "504-349-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S113",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6520",
            "fax_number": "504-349-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILAK K MALLIK MD FACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALLIK",
        "authorized_official_first_name": "BAISHALI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-349-6521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "LA",
            "license": "4776R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "F6746",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0314839001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1317926",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron D Thompson, MD
• Cherrell Lynette Thompson
• Erica M Thompson, PHARM. D
• Wanda Marie Thompson, MASTERS
• Lisa Thornton
• Henry Tolliver III
• Taylor Marie Tom, MCD, CF-SLP
• Andrea P Toomer, MD
• Total Medical Billing and Healthcare Services LLC
• Tours Elite Transportation Inc

• Endocrinology, Diabetes & Metabolism Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.