Active NPI
Ifeoma N Kamalu, MD
- Emergency Medicine Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301087974
- Practice address
- 7300 N Canton Center Rd
Canton, MI 48187-1579 - Phone
- (734) 454-8002
- Fax
- (734) 454-2733
- NPI assigned
- Mar 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301087974 | MI | Primary |
Addresses
Primary practice location
7300 N Canton Center Rd
Canton, MI 48187-1579
Mailing address
38935 Ann Arbor Rd
Credentialing/Payer Enrollment
Livonia, MI 48150-3397
Phone (734) 632-0175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12367308 | Other | MI | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Abraham Flexner Way
Louisville, KY 40202-1886
Phone (502) 587-4401
3316 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 329-7100
600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 543-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCH Healthcare Authority | Current | Accepting new patients | |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| West Alabama Palliative Care Service LLC | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Fayette, LLC | Emergency Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Green Valley Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Crestwood HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Alabama Emergency Physician Partners, LLC | Emergency Medicine | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| Nes Tennessee Inc | Emergency Medicine | Current | Accepting new patients |
| Nes Tennessee Inc | Emergency Medicine | Current | Accepting new patients |
| Concord Company of Tennessee PLLC | Emergency Medicine | Current | Accepting new patients |
| The Sylacauga Health Care Authority | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Regional, LLC | Emergency Medicine | Current | Accepting new patients |
| Newgen Alabama Billing LLC | Emergency Medicine | Current | Accepting new patients |
| Ohio County Hospital Corporation | Emergency Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Relias Emergency Medicine Specialists of Northport, LLC | Emergency Medicine | Current | Accepting new patients |
| The Sylacauga Health Care Authority | Current | Accepting new patients | |
| Alabama Emergency Physician Partners, LLC | Emergency Medicine | Current | Accepting new patients |
| Nes Tennessee Inc | Emergency Medicine | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| The DCH Health Care Authority | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ohio County Hospital Corporation | Current | Accepting new patients | |
| The DCH Healthcare Authority | Current | Accepting new patients | |
| The Sylacauga Health Care Authority | Past | Accepting new patients |
Locations
3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100
1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
1337 Burwell Rd
Harvest, AL 35749
Phone (256) 998-6820
1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661
7752 Solution Ctr
Chicago, IL 60677
1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Interoperability endpoints
- ikamalu147121@direct.metrohealth.org
Organizations & group practices 29
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.
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1891031894
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1013744424
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Emergency Medicine Physician
- Leitchfield, KY
- NPI 1649743667
-
- Emergency Medicine Physician
- Huntsville, AL
- NPI 1548940497
-
- Emergency Medicine Physician
- Paducah, KY
- NPI 1720755739
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1437606605
-
- Surgery Physician
- Hartford, KY
- NPI 1407049000
-
- Critical Access Hospital
- Hartford, KY
- NPI 1629007430
-
- Emergency Medicine Physician
- Fayette, AL
- NPI 1093201543
-
- Emergency Medicine Physician
- Northport, AL
- NPI 1699261149
-
- Emergency Medicine Physician
- Tuscaloosa, AL
- NPI 1619463163
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gadsden, AL
- NPI 1992103857
-
- Critical Access Hospital
- Butler, AL
- NPI 1184993727
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
-
- Rural Acute Care Hospital
- Sylacauga, AL
- NPI 1972527265
-
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1346410479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"address_2": "CREDENTIALING/PAYER ENROLLMENT",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503397",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N CANTON CENTER RD",
"city": "CANTON",
"state": "MI",
"postal_code": "481871579",
"telephone_number": "734-454-8002",
"fax_number": "734-454-2733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMALU",
"first_name": "IFEOMA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301087974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12367308",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.