Individual provider Active NPI

Nadia Malik, MD

  • Internal Medicine Physician
  • Grapevine, TX
National Provider Identifier
1891834172
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M9478 Issued in TX
Practice address
4100 Heritage Ave Ste 102
Grapevine, TX 76051-5716
Phone
(682) 999-8446
Fax
(817) 545-4438
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35088931 OH
Internal Medicine Physician 207R00000X M9478 TX Primary

Addresses

Primary practice location

4100 Heritage Ave Ste 102
Grapevine, TX 76051-5716

Mailing address

4100 Heritage Ave Ste 102
Grapevine, TX 76051-5716
Phone (682) 999-8446

Other identifiers 2

IdentifierTypeStateIssuer
35.008931OtherOHSTATE LICENSE
M9478OtherTXTMB

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000521 TX Practitioner - Internal Medicine 2062516099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4100 Heritage Ave
Suite 105
Grapevine, TX 76051-5716
Phone (817) 458-1525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088931OHMDInternal Medicine Physician
M9478TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nadia Malik M.D PA Internal Medicine CurrentSince Aug 1, 2012 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Internal Medicine Past Accepting new patients
Mercy Health Physicians Cincinnati LLC Past Accepting new patients

Locations

4100 Heritage Ave
Ste 102
Grapevine, TX 76051
Phone (682) 999-8446

4100 Heritage Ave
Ste 105
Grapevine, TX 76051
Phone (682) 999-8446

Interoperability endpoints

  • Direct secure messaging: nadiamalik@nmmp-tx.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDFBD/Endpoint/JBDFBD
  • Direct secure messaging: nadia.malik@nmalik.eclinicaldirectplus.com

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1891834172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE AVE STE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515716",
            "telephone_number": "682-999-8446",
            "fax_number": "817-545-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HERITAGE AVE STE 102",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515716",
            "telephone_number": "682-999-8446",
            "fax_number": "817-545-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "NADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35088931",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35.008931",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "M9478",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.