Jalal-Deen Armiyaw
Individual provider Active NPI Hospitalist Physician · Louisville, KY
NPI 1356844179 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1356844179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 0101279783 (VA)
- Practice address
- 500 S Preston St RM 305
Louisville, KY 40202-1702 - Phone
- (502) 852-8696
- NPI assigned
- Mar 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Spring Physician Services, LLC
Practice addresses (Care Compare)
1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000
Hospital & facility affiliations
- Lewisgale Medical Center
- Mercy Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in VA, NH, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231122002214 | VA | Practitioner - Hospitalist | 3779905096 | Reassigns benefits to 2 organizations |
| I20240213001237 | NH | Practitioner - Internal Medicine | 3779905096 | Reassigns benefits to 2 organizations |
| I20240416001748 | OH | Practitioner - Internal Medicine | 3779905096 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101279783 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Richland County, LTD | Internal Medicine | Current |
Accepting new patients |
| Speare Memorial Hospital | Current |
Accepting new patients | |
| Lake Spring Physician Services, LLC | Hospitalist | Current |
Accepting new patients |
| Speare Memorial Hospital | Current |
Accepting new patients | |
| Speare Memorial Hospital | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Past | Accepting new patients |
Locations
16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 600
Dallas, TX 75244
1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 0101279783 | VA | |
| Hospitalist Physician | 208M00000X | 0101279783 | VA | Yes |
Addresses
Primary practice location
500 S Preston St RM 305
Louisville, KY 40202-1702
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Other providers in Louisville, KY
- Elizabeth Armenis
- Cheyenne Armes
- Lyndsey Armes
- Neely E. Armes
- Racheal Armistead
- Bailey Layne Arms
- Hannah Elizabeth Arms
- Damon Lemar Armstead
- Veral Armstead
- Yolonda J Armstead
All providers in Louisville, KY · Hospitalist Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.