DR. DIKSHYANT MALLA MD
NPI 1063214518
Student in an Organized Health Care Education/Training Program in Odessa, TX

Active since March 25, 2025PECOS Enrolled
701 W 5TH ST, ODESSA, TX 79763(432) 703-5089 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, Apr 3, 2025, Mar 30, 2025 (3 updates tracked since 2025).

About Dr. Dikshyant Malla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIKSHYANT MALLA MD (NPI 1063214518) is an individual student in an organized health care education/training program in Odessa, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063214518
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. DIKSHYANT MALLACredential: MD
Location Address701 W 5TH STOdessa, TX 79763-4206
Mailing Address3601 N Faudree Rd Apt 1131Odessa, TX 79765-8592 · (917) 698-5551
Sole ProprietorNo
Enumeration DateMarch 25, 2025
Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1063214518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

701 W 5TH ST, Odessa, TX 79763

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Dikshyant Malla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
701 W 5TH ST
ODESSA, TX 79763
Pediatrics (Pediatric Critical Care Medicine)
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Pediatrics
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Student in an Organized Health Care Education/Training Program
701 W 5TH ST
ODESSA, TX 79763
Internal Medicine
701 W 5TH ST
ODESSA, TX 79763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dikshyant Malla's NPI number?

The NPI number for Dikshyant Malla is 1063214518. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Dikshyant Malla located?

Dikshyant Malla practices at 701 W 5th St, Odessa, TX 79763. The listed phone number is (432) 703-5089.

What is Dikshyant Malla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dikshyant Malla enrolled in Medicare?

Yes. Dikshyant Malla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dikshyant Malla was last updated on December 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.