Individual provider Active NPI

Malachy Ikechukwu Ijemere, MD

  • Emergency Medicine Physician
  • Gadsden, AL
National Provider Identifier
1013963750
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19349 Issued in AL
Practice address
600 S 3Rd St
Gadsden, AL 35901-5304
Phone
(904) 805-1300
Fax
(904) 805-1302
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19349 AL Primary

Addresses

Primary practice location

600 S 3Rd St
Gadsden, AL 35901-5304

Mailing address

PO Box 863535
Orlando, FL 32886-3535
Phone (904) 805-1300

Other identifiers 2

IdentifierTypeStateIssuer
009924260MedicaidAL
51555561OtherALBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000590 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 6608761457 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshall Medical Center SouthGroup PAC ID 9234302290, 22 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

2505 US Hwy 431
Boaz, AL 35957-5908
Phone (256) 593-8310

3316 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 329-7100

Hospital & facility affiliations

  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • North Mississippi Health Services - South Marion Hospital, Winfield, AL, CCN 010086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19349ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Oct 8, 2012 Accepting new patients
Coffee County Physician Group PC Emergency Medicine CurrentSince Aug 24, 2024 Accepting new patients
Newgen Alabama Billing LLC Emergency Medicine CurrentSince Nov 17, 2024 Accepting new patients
Nes Tennessee Inc Emergency Medicine Current Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Oct 15, 2022 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Oct 7, 2017 Accepting new patients
Keystone Medical Services of Alabama, Inc. Emergency Medicine CurrentSince Oct 25, 2022 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jan 15, 2006 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Oct 7, 2017 Accepting new patients
Physicians Medical Staffing LLC Emergency Medicine Past Accepting new patients
Fayette Medical Center Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

1010 Lay Dam Rd
Clanton, AL 35045
Phone (205) 280-3218

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

150 Gilbreath Dr
Oneonta, AL 35121
Phone (205) 274-3000

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1013963750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863535",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863535",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015304",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJEMERE",
        "first_name": "MALACHY",
        "middle_name": "IKECHUKWU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "19349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009924260",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51555561",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.