Organization Active NPI

Malik Rheumatology, PA

  • Rheumatology Physician
  • Wichita, KS
National Provider Identifier
1639307663
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
04-31324 Issued in KS
Legal business name
MALIK RHEUMATOLOGY, PA
Practice address
2260 N Ridge Rd Ste 210
Wichita, KS 67205-1130
Phone
(316) 558-8788
Fax
(316) 558-8775
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Rabia Basit Malik
Title
Office Manager
Phone
(316) 558-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 04-31324 KS Primary

Addresses

Primary practice location

2260 N Ridge Rd Ste 210
Wichita, KS 67205-1130

Mailing address

2260 N Ridge Rd Ste 210
Wichita, KS 67205-1130
Phone (316) 558-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000409 KS Part B Supplier - Clinic/Group Practice 1355496449 Receives reassigned benefits from 1 practitioner
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

210 E 30th Ave
Ste 110
Hutchinson, KS 67502
Phone (620) 259-6399

2260 N Ridge Rd
Ste 210
Wichita, KS 67205
Phone (316) 558-8788

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": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1639307663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 N RIDGE RD STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051130",
            "telephone_number": "316-558-8788",
            "fax_number": "316-558-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 N RIDGE RD STE 210",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051130",
            "telephone_number": "316-558-8788",
            "fax_number": "316-558-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIK RHEUMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "RABIA",
        "authorized_official_middle_name": "BASIT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-558-8788"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "04-31324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.