NPIMap

Individual provider Active NPI

Lotfi F Mamlouk, MD

  • Internal Medicine Physician
  • Middletown, OH
National Provider Identifier
1013957216
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-079488 Issued in OH
Practice address
6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone
(513) 874-0486
Fax
(513) 280-8868
NPI assigned
Jun 7, 2006
Last updated
Apr 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-079488 OH Primary
Hospitalist Physician 208M00000X 35-079488 OH

Addresses

Primary practice location

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017

Mailing address

PO Box 229
Miamisburg, OH 45343-0229
Phone (513) 874-0486

Other identifiers 4

IdentifierTypeStateIssuer
2307702MedicaidOH
P00623424OtherRR MEDICARE
64037435MedicaidKY
200372100MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000065 KY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5991697112 Reassigns benefits to 1 organization
I20040602000160 OH Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5991697112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

6975 Burlington Pike
Florence, KY 41042-1618
Phone (513) 605-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.4 of 100Reported as individual
Quality
65.6
Improvement activities
0
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-079488OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospitalist Services Medical Group Internal Medicine Past Accepting new patients
Prexus Health Associates, LLC Past Accepting new patients
Fairfield Hospitalists Inc Internal Medicine Past Accepting new patients
Atrium Medical Center Past Accepting new patients
Tri State Urgent Care LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of Dayton, LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of Cincinnati, LLC Past Accepting new patients
United Emergency Services, Inc. Past Accepting new patients

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1013957216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453430229",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ROOSEVELT AVE STE 303",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450050017",
            "telephone_number": "513-874-0486",
            "fax_number": "513-280-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMLOUK",
        "first_name": "LOTFI",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-079488",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-079488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2307702",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00623424",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64037435",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200372100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.