Individual provider Active NPI

Shahzad Hamid Malik, PA

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1780007211
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15156 Issued in TX
Practice address
4987 W University Dr Ste 150
McKinney, TX 75071-5074
Phone
(214) 548-5033
Fax
(855) 583-0626
NPI assigned
Feb 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15156 TX Primary

Addresses

Primary practice location

4987 W University Dr Ste 150
McKinney, TX 75071-5074

Mailing address

4987 W University Dr Ste 150
McKinney, TX 75071-5074
Phone (703) 598-9875

Other practice location 1

703 S Fleishel Ave Ste 5000
Tyler, TX 75701-2015
Phone (903) 606-6139

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210002106 TX Practitioner - Physician Assistant 6406070655 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017232NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Mar 7, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 7, 2025 Accepting new patients

Locations

703 S Fleishel Ave
Ste 5000
Tyler, TX 75701
Phone (903) 525-2992

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: hackensackmeridian.shahzadmalik@136290.advancedmd-direct.com
  • Direct secure messaging: smalik1334219@ahs.direct-ci.com
  • Direct secure messaging: smalik551263@direct.froedtert.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1780007211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715074",
            "telephone_number": "703-598-9875",
            "fax_number": "855-583-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715074",
            "telephone_number": "214-548-5033",
            "fax_number": "855-583-0626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 S Fleishel Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012015",
            "country_code": "US",
            "telephone_number": "903-606-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SHAHZAD",
        "middle_name": "HAMID",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.