SUBODH K MALLIK (M.D.) – Internal Medicine Physician, NPI 1689628885

SUBODH K MALLIK (M.D.) is a healthcare provider. based in Fort stockton, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. K4945 (TX). The NPI Number for SUBODH K MALLIK (M.D.) is 1689628885

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
SUBODH K MALLIK (M.D.)
NPI
1689628885
Phone
(432) 336-0700
Address
387 W IH 10
Enumeration Date
20 May 2006
Last Update Date
9 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4329432057
Graduation Year
1992 (34 years ago)
PAC ID
5496772808
Group Practice PAC ID
1456261494
Professional Enrollment ID
I20051025000890
Address ID
TX797564016MO921XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

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Provider Addresses for SUBODH K MALLIK (M.D.)

  • Fort Stockton, Pecos County, Texas, 79735, United States

    FORT STOCKTON, TX 797352700

    Phone: (432) 336-0700

    Fax: (432) 336-0704

    Mailing address matches the actual address.

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: 2005-10-25

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
I20051025000890IInternal MedicineTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,082205$0
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes70096$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes54897$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month46884$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days381104$0
View full utilization report →

Insurance plans in this area (ZIP 79735)

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Provider's Procedures

SUBODH K MALLIK (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report12893

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: 1456261494View full group profile
NameSpecialtyState
R H E U M A T O L O G YIA
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
Nurse PractitionerTX
Physician AssistantTX
Physician AssistantTX
Family Practice, HospitalistTX
Nurse PractitionerTX
Internal MedicineFL

Reviews

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Frequently asked questions

What is SUBODH K MALLIK (M.D.)'s NPI number?
SUBODH K MALLIK (M.D.)'s NPI is 1689628885 — the number used across U.S. healthcare to identify this provider.
Would SUBODH K MALLIK (M.D.) appear as active to a payer?
You can treat SUBODH K MALLIK (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe SUBODH K MALLIK (M.D.)'s focus?
For SUBODH K MALLIK (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SUBODH K MALLIK (M.D.)?
Directory geography for SUBODH K MALLIK (M.D.) centers on Fort Stockton, Texas.
Does SUBODH K MALLIK (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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