Individual provider Active NPI

Salman Rasheed Mallick, M.D

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1578892113
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S3233 Issued in TX
Practice address
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone
(612) 273-3000
Fax
(612) 273-4370
NPI assigned
Dec 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.012770 OH
Internal Medicine Physician 207R00000X 55367 MN
Nephrology Physician 207RN0300X 55367 MN
Nephrology Physician 207RN0300X 55367 TX
Hospitalist Physician 208M00000X 55367 MN
Internal Medicine Physician 207R00000X S3233 TX Primary

Addresses

Primary practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Mailing address

400 E 3Rd St
Essentia Health Duluth Clinic
Duluth, MN 55805-1951
Phone (218) 786-8132

Other practice location 1

633 E Fernhurst Dr Ste 202
Katy, TX 77450-1586
Phone (281) 712-7757

Other practice location 2

15119 Wallisville Rd
Houston, TX 77049-4630
Phone (832) 538-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121012000347 MN Practitioner - HospitalistPractitioner - Internal Medicine 5698924322 Reassigns benefits to 5 organizations
I20220407001003 TX Practitioner - Internal Medicine 5698924322 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Haider Afzal MD PAGroup PAC ID 3577694496, 3 clinicians
Fairview Health ServicesGroup PAC ID 1951213057, 677 clinicians
Life Care Primary Medical Associates PLLCGroup PAC ID 3971857822, 3 clinicians

Practice addresses (Care Compare)

15119 Wallisville Rd
Suite 700
Houston, TX 77049-4631
Phone (832) 631-9363

1690 W Baker Rd B
Baytown Family Clinic
Baytown, TX 77521-2416
Phone (281) 428-8203

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-3000

7103 S Peek Rd
Suite 520
Richmond, TX 77407-3507
Phone (281) 712-7757

8002 FM 1464 Rd
Suite 300
Richmond, TX 77407-8052
Phone (832) 400-2733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.012770OHMDInternal Medicine Physician
55367MNMDNephrology Physician
55367TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Internal Medicine CurrentSince Jul 21, 2018 Accepting new patients
Fairview Clinics CurrentSince May 1, 2020 Accepting new patients
Fairview Clinics CurrentSince May 1, 2020 Accepting new patients
Haider Afzal MD PA CurrentSince May 1, 2022 Accepting new patients
Healtheast St. John's Hospital CurrentSince Apr 5, 2020 Accepting new patients
Fairview Health Services Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Insynch Health, PLLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Complete Community Care PLLC Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
Fairview Bethesda Hospital CurrentSince Apr 5, 2020 Accepting new patients
Fairview Clinics Current Accepting new patients
Healtheast Medical Research Institute CurrentSince May 1, 2020 Accepting new patients
Healtheast Care System CurrentSince Apr 5, 2020 Accepting new patients
Fairview Health Services CurrentSince Jul 21, 2018 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Insynch Health, PLLC Past Accepting new patients
Monolith Diagnostics, PC PastSince Apr 1, 2020 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

1690 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 428-8203

87 Interstate 10 N
Ste 125
Beaumont, TX 77707
Phone (409) 245-0795

15119 Wallisville Rd
Ste 700
Houston, TX 77049
Phone (832) 538-0243

15119 Wallisville Rd
Ste 100
Houston, TX 77049
Phone (832) 626-3366

15119 Wallisville Rd
Houston, TX 77049
Phone (832) 538-0243

5401 FM 1626
Ste 150
Kyle, TX 78640
Phone (512) 200-2834

8002 FM 1464 Rd
Ste 300
Richmond, TX 77407
Phone (832) 400-2733

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

2174 Spring Stuebner Rd
Spring, TX 77389
Phone (281) 697-4649

7002 Riverbrook Dr
Ste 900F
Sugar Land, TX 77479
Phone (281) 721-4181

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFEBDD
  • Direct secure messaging: smallick445845@fairview.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 4

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": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1578892113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "address_2": "ESSENTIA HEALTH DULUTH CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARVARD ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550363",
            "telephone_number": "612-273-3000",
            "fax_number": "612-273-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 E Fernhurst Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774501586",
            "country_code": "US",
            "telephone_number": "281-712-7757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15119 Wallisville Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770494630",
            "country_code": "US",
            "telephone_number": "832-538-0243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "SALMAN",
        "middle_name": "RASHEED",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.012770",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "55367",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MN",
            "license": "55367",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "55367",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "55367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.