Individual provider Active NPI

Jalal-Deen Armiyaw

  • Hospitalist Physician
  • Louisville, KY
National Provider Identifier
1356844179
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101279783 Issued in VA
Practice address
500 S Preston St RM 305
Louisville, KY 40202-1702
Phone
(502) 852-8696
NPI assigned
Mar 18, 2018
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0101279783 VA
Hospitalist Physician 208M00000X 0101279783 VA Primary

Addresses

Primary practice location

500 S Preston St RM 305
Louisville, KY 40202-1702

Mailing address

PO Box 388
Fishersville, VA 22939-0388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NH, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101279783VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Speare Memorial Hospital Current Accepting new patients
Lake Spring Physician Services, LLC Hospitalist CurrentSince Dec 10, 2024 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Speare Memorial Hospital CurrentSince Dec 23, 2023 Accepting new patients
Signify Health, LLC CurrentSince Mar 2, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 3, 2024 Accepting new patients
Speare Memorial Hospital CurrentSince Dec 23, 2023 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) 489-1055

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

Organizations & group practices 8

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 2

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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1356844179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S PRESTON ST RM 305",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021702",
            "telephone_number": "502-852-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMIYAW",
        "first_name": "JALAL-DEEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-18",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101279783",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101279783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.