DR. AMMAR MALIK
NPI 1659720522
Internal Medicine - Pulmonary Disease in Fresno, CA

Q: What is Ammar Malik's NPI number?

The NPI number for Ammar Malik is 1659720522. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Q: What is Ammar Malik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Ammar Malik was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2016PECOS EnrolledAccepts Medicare Assignment

93.21/100

CMS Quality Rating

155 N FRESNO ST, FRESNO, CA 93701(559) 256-5130 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 21, 2019, Feb 15, 2017 (2 updates tracked since 2017).

On this page

About Dr. Ammar Malik NPPES

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

DR. AMMAR MALIK (NPI 1659720522) is an individual pulmonary disease provider in Fresno, California, licensed in California (A168849) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659720522

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. AMMAR MALIK

Location Address155 N FRESNO STFresno, CA 93701-2302

Mailing Address155 N Fresno StFresno, CA 93701-2302 · (559) 256-5130

Phone(559) 256-5130

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 10, 2016

Last NPPES UpdateSeptember 21, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2023

✔ NPI 1659720522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in CA · A168849✔ Licensed in TX · U4863

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License U4863 (TX)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License U4863 (TX)

155 N FRESNO ST, Fresno, CA 93701

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Secondary Practice Locations 2

Location 17300 N Fresno StFresno, CA 93720-2941 · Phone (559) 256-5130

Location 2800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-7264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ammar Malik is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931496551

PECOS Enrollment IDI20230807000112

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.

Medicare Billing Reassignments

Medicare enrollment records show Ammar Malik reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc

121 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Premier Pulmonary Critical Care And Sleep Medicine, PA

1,325 mi

Pulmonary Disease

5012 S US HIGHWAY 75 STE 200
Denison, TX 75020

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1740557909 (903) 465-5012

Christus Trinity Clinic Texas

1,425 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Northeast Texas Intensivists, PLLC

1,453 mi

Critical Care Medicine

700 E MARSHALL AVE
Longview, TX 75601

Reassigned Medicare billing, Texas enrollment
70 clinicians in this Medicare group

NPI 1497536676 (903) 315-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

730 services214 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

260 services176 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

148 services125 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

133 services71 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

111 services111 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

104 services104 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

93 services91 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

65 services65 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services44 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

48 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services13 patients

Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401

This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.

23 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services19 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

14 services13 patients

Test to measure expiratory airflow and volume 94010

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450324

Location5016 S Us Highway 75Denison, TX 75020 · Grayson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.43

Promoting Interoperability

100

Improvement Activities

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.

SAAJAN BHAKTA DO

Emergency Medicine

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (559) 499-6440

DR. MIKELA MARIYA PADILLA MD

Student in an Organized Health Care Education/Training Program

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (559) 499-6518

KHALED MOHAMMED SALEH ABDULLAH MBBS

Student in an Organized Health Care Education/Training Program

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (559) 499-6400

ANGELA MARON

Student in an Organized Health Care Education/Training Program

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (599) 499-6540

DR. CHETANNA OKPALEKE AMAZU MD

Student in an Organized Health Care Education/Training Program

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (913) 407-8457

DR. NITIKA NARINDER DHIR M.D.

Pediatrics (Adolescent Medicine)

155 N FRESNO ST, STE 326
FRESNO, CA 93701

Fresno County (559) 499-6466

SANG JO HWANG DO

Internal Medicine (Infectious Disease)

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (559) 499-6400

DR. THURAYA AL-SAYEGH MD

Student in an Organized Health Care Education/Training Program

155 N FRESNO ST
FRESNO, CA 93701

Fresno County (559) 499-6550

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 Ammar Malik's NPI number?

The NPI number for Ammar Malik is 1659720522. It was assigned to this individual provider in the NPPES registry on June 10, 2016.

Where is Ammar Malik located?

Ammar Malik practices at 155 N Fresno St, Fresno, CA 93701. The listed phone number is (559) 256-5130.

What is Ammar Malik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ammar Malik enrolled in Medicare?

Yes. Ammar Malik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ammar Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ammar Malik reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Stockton, CA), Premier Pulmonary Critical Care And Sleep Medicine, PA (Denison, TX), Christus Trinity Clinic Texas (Tyler, TX) and Northeast Texas Intensivists, PLLC (Longview, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ammar Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ammar Malik accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare, Oscar Insurance Company and WellPoint list Ammar Malik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ammar Malik affiliated with any hospitals?

According to CMS data, Ammar Malik is affiliated with Christus Mother Frances Hospital and Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Ammar Malik was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.