Individual provider Active NPI

Saleem H Mallick, MD

  • Interventional Cardiology Physician
  • Mesquite, TX
National Provider Identifier
1588620884
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E6487 Issued in TX
Practice address
1601 N Belt Line Rd Ste C
Mesquite, TX 75149-1791
Phone
(972) 279-3500
Fax
(972) 279-3505
NPI assigned
Apr 25, 2006
Last updated
Oct 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E6487 TX
Interventional Cardiology Physician 207RI0011X E6487 TX Primary

Addresses

Primary practice location

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

Mailing address

1601 N Belt Line Rd Ste C
Mesquite, TX 75149-1791
Phone (972) 279-3500

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
I20081029000336 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 5597823955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Physician GroupGroup PAC ID 7517194491, 17 clinicians

Practice addresses (Care Compare)

5308 N Galloway Ave
100 Southwest Cardiac Associates
Mesquite, TX 75150-1125
Phone (972) 226-0505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6487TXMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Medical Physician Group Cardiovascular Disease CurrentSince Apr 24, 2023 Accepting new patients
Dallas Medical Physician Group CurrentSince Apr 24, 2023 Accepting new patients
Prasad Maddukuri MD PLLC CurrentSince May 15, 2021 Accepting new patients
Juan Joel Garza, MD PA Cardiovascular Disease Past Accepting new patients
Doctors Interpretive Services Cardiovascular Disease Past Accepting new patients
Mesquite Heart Center Cardiovascular Disease Past Accepting new patients

Locations

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

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

5308 N Galloway Ave
Mesquite, TX 75150
Phone (972) 226-0505

5308 N Galloway Ave
Ste 100
Mesquite, TX 75150
Phone (972) 226-0505

182 S Collins Rd
Ste 800
Sunnyvale, TX 75182
Phone (214) 466-6943

341 Wheatfield Dr
Ste 190
Sunnyvale, TX 75182
Phone (469) 436-3650

Interoperability endpoints

  • Direct secure messaging: dilip.sengupta.1@13131.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1588620884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N BELT LINE RD STE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491791",
            "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 STE C",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751491791",
            "telephone_number": "972-279-3500",
            "fax_number": "972-279-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "SALEEM",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E6487",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "E6487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.