Individual provider Active NPI

Ifeoma N Kamalu, MD

  • Emergency Medicine Physician
  • Canton, MI
National Provider Identifier
1346410479
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301087974 Issued in MI
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

Updated by the provider on May 9, 2012

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 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

IdentifierTypeStateIssuer
12367308OtherMICAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601002765 AL Practitioner - Emergency Medicine 9537323993 Reassigns benefits to 11 organizations
I20240321003884 KY Practitioner - Emergency Medicine 9537323993 Reassigns benefits to 5 organizations

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
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

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

OrganizationSpecialtyStatusNew patients
DCH Healthcare Authority Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Oct 1, 2025 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
Relias Emergency Medicine Specialists of Fayette, LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Oct 23, 2024 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 5, 2024 Accepting new patients
Crestwood HB Medical Services LLC Emergency Medicine CurrentSince Jan 16, 2024 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Apr 2, 2024 Accepting new patients
Nes Tennessee Inc Emergency Medicine Current Accepting new patients
Concord Company of Tennessee PLLC Emergency Medicine CurrentSince May 8, 2024 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Jan 6, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
Newgen Alabama Billing LLC Emergency Medicine CurrentSince Mar 14, 2025 Accepting new patients
Ohio County Hospital Corporation Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC Emergency Medicine CurrentSince May 1, 2020 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Jan 6, 2025 Accepting new patients
Alabama Emergency Physician Partners, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Nes Tennessee Inc Emergency Medicine CurrentSince Apr 2, 2024 Accepting new patients
Ohio County Hospital Corporation CurrentSince Jul 1, 2025 Accepting new patients
The DCH Health Care Authority CurrentSince May 14, 2021 Accepting new patients
University of Louisville Physicians, Inc. Emergency Medicine CurrentSince Oct 23, 2024 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
The DCH Healthcare Authority CurrentSince May 14, 2021 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

  • Direct secure messaging: 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.

View all 29

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": "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

Verify at the official NPI Registry.