Active NPI
Malik Nouri, MD
- Anesthesiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01052991
- Practice address
- 1500 N Ritter Ave
Indianapolis, IN 46219-3027 - Phone
- (317) 355-1411
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 01052991 | IN | |
| Anesthesiology Physician | 207L00000X | 01052991 | IN | Primary |
Addresses
Primary practice location
1500 N Ritter Ave
Indianapolis, IN 46219-3027
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
1120 South Dr
FH Rm 204
Indianapolis, IN 46202-5135
Phone (317) 274-0269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200371040 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 N Ritter Ave
Community Hospital East
Indianapolis, IN 46219-3027
Phone (317) 355-1411
8040 Clearvista Pkwy
Indianapolis, IN 46256-5630
Phone (317) 621-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052991 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Anesthesiology Associates-Pediatrics, LLC | Anesthesiology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Northside Anesthesia Services, LLC | Anesthesiology | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
702 Barnhill Dr
Indianapolis, IN 46202
Phone (317) 274-0273
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
1130 W Michigan St
Rm 204
Indianapolis, IN 46202
Phone (317) 274-0269
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
8040 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 254-5740
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1386695930
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Pediatric Anesthesiology Physician
- Indianapolis, IN
- NPI 1083651335
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1568444693
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735430400000",
"number": "1730161449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N RITTER AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462193027",
"telephone_number": "317-355-1411"
}
],
"practiceLocations": [
{
"address_1": "1120 South Dr",
"address_2": "FH Rm 204",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025135",
"country_code": "US",
"telephone_number": "317-274-0269",
"fax_number": "317-274-0256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOURI",
"first_name": "MALIK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2024-12-29",
"certification_date": "2024-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "IN",
"license": "01052991",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01052991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200371040",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
- Lauren Noth
- Dustin Notter, DPT
- Jeffrey Michael Nottingham, LMHC
- Sarah Nottingham
- Anna Nourbash
- Nourish Wellness Family Medicine (Ann C Collins MD)
- Nourishing Direction Inc (transplant immunology laboratory)
- Nova Health First Inc
- Nova Home Care, Inc.
- Nova Home Health Care, Inc. (Nova Home Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.