Individual provider Active NPI

Obaid Malik, MD

  • Pain Medicine (Anesthesiology) Physician
  • Richardson, TX
National Provider Identifier
1972946077
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
R5288 Issued in TX
Practice address
3009 E Renner Rd Ste 100
Richardson, TX 75082-3572
Phone
(469) 589-1871
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X R5288 TX Primary

Addresses

Primary practice location

3009 E Renner Rd Ste 100
Richardson, TX 75082-3572

Mailing address

3009 E Renner Rd Ste 100
Richardson, TX 75082-3572
Phone (469) 589-1871

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
I20180517000561 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 2365707577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Ohio State University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
360 Pain and Spine PLLCGroup PAC ID 6103247598, 4 clinicians

Practice addresses (Care Compare)

1308 Village Creek Dr
Suite 2000
Plano, TX 75093-4464
Phone (469) 589-1871

Hospital & facility affiliations

  • Hunt Regional Medical Center Hospital, Greenville, TX, CCN 450352
  • Methodist Richardson Medical Center Hospital, Richardson, TX, CCN 450537
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
88.17 of 100Reported as individual
Quality
96.87
Improvement activities
40
Cost
64.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5288TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renner Anesthesia Partners PLLC Single Specialty CurrentSince Jun 1, 2022 Accepting new patients
360 Pain and Spine PLLC Single Specialty CurrentSince Jan 29, 2020 Accepting new patients

Locations

11811 FM 1960 Rd W
Ste 165
Houston, TX 77065
Phone (713) 913-3764

1308 Village Creek Dr
Ste 2000
Plano, TX 75093
Phone (469) 589-1871

3009 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (469) 589-1871

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21996/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1972946077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 E RENNER RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823572",
            "telephone_number": "469-589-1871",
            "fax_number": "469-589-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 E RENNER RD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823572",
            "telephone_number": "469-589-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "OBAID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "R5288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.