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

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: August 23, 2026.

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

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
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

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

Medicare Participation & PECOS CMS

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

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.

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

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
Quality86.43
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701
Pediatrics (Adolescent Medicine)
155 N FRESNO ST, STE 326
FRESNO, CA 93701
Internal Medicine (Infectious Disease)
155 N FRESNO ST
FRESNO, CA 93701
Student in an Organized Health Care Education/Training Program
155 N FRESNO ST
FRESNO, CA 93701

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.

What insurance does Ammar Malik accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company 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 2 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.