NPIMap

Individual provider Active NPI

Malik Omer Ali Elazreg, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1700076395
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP1-0024977 Issued in TX
Practice address
4600 Scyene Rd
Dallas, TX 75210-2219
Phone
(214) 266-4000
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP1-0024977 TX Primary

Addresses

Primary practice location

4600 Scyene Rd
Dallas, TX 75210-2219

Mailing address

1857 Pine St
Suite 100
Abilene, TX 79601-2429
Phone (325) 670-3073

Other practice location 1

8224 Park Ln Ste 130
Dallas, TX 75231-6021
Phone (214) 266-4000

Other practice location 2

1857 Pine St
Suite 100
Abilene, TX 79601-2429
Phone (325) 670-3073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529002314 TX Practitioner - Family PracticePractitioner - Pediatric Medicine 2264655778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Pediatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital, Dallas, TX, CCN 450015

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0024977TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Current Accepting new patients
Dallas County Hospital District Family Medicine CurrentSince Apr 11, 2016 Accepting new patients
Dallas County Hospital District CurrentSince Apr 11, 2016 Accepting new patients

Locations

8224 Park Ln
Ste 130
Dallas, TX 75231
Phone (214) 266-0266

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Interoperability endpoints

  • Direct secure messaging: malikomerali.elazreg@direct.myteamcare.com
  • Direct secure messaging: melazreg65890@direct.phhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1700076395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1857 PINE ST",
            "address_2": "SUITE 100",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012429",
            "telephone_number": "325-670-3073",
            "fax_number": "325-670-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SCYENE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752102219",
            "telephone_number": "214-266-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8224 Park Ln Ste 130",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752316021",
            "country_code": "US",
            "telephone_number": "214-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1857 Pine St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012429",
            "country_code": "US",
            "telephone_number": "325-670-3073",
            "fax_number": "325-670-3129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELAZREG",
        "first_name": "MALIK",
        "middle_name": "OMER ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP1-0024977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.