Tariq Rahman Mallick, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34881 Issued in IA

Practice address

915 W Exchange Pkwy Ste 210
Allen, TX 75013-7032

Phone

(469) 656-1033

Fax

(855) 231-4739

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care and Wellness, PLLCGroup PAC ID 5698109866, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tariq.mallick@fcw.eclinicaldirectplus.com

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.

• Family Care and Wellness, PLLC

  • Family Medicine Physician
  • Allen, TX
  • NPI 1366099194
  Medicare reassignment Care Compare group NPD Authorized official
• 24 Hour Physicians, Inc

  • Emergency Medicine Physician
  • Spring, TX
  • NPI 1396083424
  Medicare reassignment NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Emergis ER Coit, LLC

  • Special Hospital
  • Dallas, TX
  • NPI 1891239935
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1760485478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8054 SHACKELFORD DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350593",
            "telephone_number": "469-656-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY STE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137032",
            "telephone_number": "469-656-1033",
            "fax_number": "855-231-4739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLICK",
        "first_name": "TARIQ",
        "middle_name": "RAHMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "Q4629",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruhee Makhani
• Makini Counseling, PLLC
• Kareem Hussein Makki, ABOC, CPO
• Malcolm O Perry III MD PA
• Shyam Sunder Reddy Mali
• William Joseph Maloney
• Mam Unique Health Services Inc.
• Annabel Aquino Manabat, P.T.
• Mandi Dixon Counseling, LLC
• Cheri L. Mann, D.O.

• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.