MALIK NOURI (MD) – Anesthesiology Physician, NPI 1730161449

MALIK NOURI (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 01052991 (IN). The NPI Number for MALIK NOURI (MD) is 1730161449

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MALIK NOURI (MD)
NPI
1730161449
Phone
(317) 274-0269
Address
1120 South Dr
Enumeration Date
17 November 2005
Last Update Date
29 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3173551411
Graduation Year
1990 (36 years ago)
PAC ID
2365448628
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20070710000811
Address ID
IN462193027IN1500XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

Provider Addresses for MALIK NOURI (MD)

  • 1120 South Dr

    FH Rm 204

    Indianapolis, IN 462025135

    Phone: (317) 274-0269

    Fax: (317) 274-0256

    Type: Location

  • Andrew Jacobs Jr. Post Office, 125, West South Street, Old Southside, Indianapolis, Marion County, Indiana, 46206, United States

    DEPT 106

    INDIANAPOLIS, IN 462066069

    Phone: (317) 567-2180

    Fax: (317) 567-2191

    Type: Mailing

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone:

    Type: Mailing

  • 1120, South Drive, Indianapolis, Marion, Indiana, 46202, United States

    FH RM 204

    INDIANAPOLIS, IN 462025135

    Phone: (317) 274-0269

    Fax: (317) 274-0256

    Type: Location

  • 1500 N RITTER AVE

    INDIANAPOLIS, IN 462193027

    Phone: (317) 355-1411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070710000811IAnesthesiologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00910Anesthesia for other procedure on urinary system through urethra1212$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759416662View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MALIK NOURI (MD) for billing?
Administrative and clinical systems typically use NPI 1730161449 for MALIK NOURI (MD).
Should I treat MALIK NOURI (MD) as an active provider?
Patients and plans typically see MALIK NOURI (MD) as active in the national extract.
What does the directory say MALIK NOURI (MD) does?
Insurance directories may phrase it differently, but here MALIK NOURI (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MALIK NOURI (MD)?
The directory associates MALIK NOURI (MD) with Indianapolis, Indiana. Check all listed addresses for suites or satellite offices.
Who maintains MALIK NOURI (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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