1. Home
  2. Directory
  3. Arizona
  4. Glendale
  5. Pediatrics
  6. NPI Profile

DR. HUSAM SROUR MALLAH MD
NPI 1912048703
Pediatrics - Pediatric Gastroenterology in Glendale, AZ

Active since February 12, 2007PECOS Enrolled
5310 W THUNDERBIRD RD STE W311, GLENDALE, AZ 85306(602) 865-4230(602) 865-4250 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 1, 2026, Sep 29, 2015 (2 updates tracked since 2015).

About Dr. Husam Srour Mallah Md NPPES

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

DR. HUSAM SROUR MALLAH MD (NPI 1912048703) is an individual pediatric gastroenterology provider in Glendale, Arizona, licensed in Arizona (50552) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912048703
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. HUSAM SROUR MALLAHCredential: MD
Location Address5310 W THUNDERBIRD RD STE W311Glendale, AZ 85306-4706
Mailing Address5310 W Thunderbird Rd Ste W311Glendale, AZ 85306-4706 · (602) 865-4230 · Fax (602) 865-4250
Phone(602) 865-4230
Fax(602) 865-4250
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 1, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2026
✔ NPI 1912048703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in AZ · 50552
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 50552 (AZ)
5310 W THUNDERBIRD RD STE W311, Glendale, AZ 85306
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.Insurance ›

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. Husam Srour Mallah 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Husam Srour Mallah's NPI number?

The NPI number for Husam Srour Mallah is 1912048703. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Husam Srour Mallah located?

Husam Srour Mallah practices at 5310 W Thunderbird Rd Ste W311, Glendale, AZ 85306. The listed phone number is (602) 865-4230.

What is Husam Srour Mallah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Husam Srour Mallah enrolled in Medicare?

Yes. Husam Srour Mallah is registered in the Medicare PECOS enrollment system.

What insurance does Husam Srour Mallah accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Husam Srour Mallah 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.

When was this NPI record last updated?

The NPPES record for Husam Srour Mallah was last updated on January 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.