Malak Gadalla Hermina, MD FACP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01048471A Issued in IN

Practice address

4803 W 71St St
Indianapolis, IN 46268-2149

Phone

(317) 293-9039

Fax

(317) 293-9049

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Internal Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Mary Adult Medicine LLCGroup PAC ID 2769770098, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIEJDD/Endpoint/JIEJDD

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.

• St. Mary Adult Medicine, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1942481965
  Medicare reassignment Care Compare group
• Greenwood Health Center, PC

  • Chiropractor
  • Greenwood, IN
  • NPI 1215969068
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1366496119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682149",
            "telephone_number": "317-293-9039",
            "fax_number": "317-293-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 W 71ST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682149",
            "telephone_number": "317-293-9039",
            "fax_number": "317-293-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMINA",
        "first_name": "MALAK",
        "middle_name": "GADALLA",
        "name_prefix": "Dr.",
        "credential": "MD FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01048471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus Herman, CRNA
• Benjamin Joseph Hermann
• Lydia Hermann
• Alexandra Hermes, OTR
• James B Hermiller Jr., MD
• Hermon Care LLC
• Elina Herms
• Tricia Hern, MD
• Ana Hernandez Calderon, PHARMD
• Ruben Hernan Hernandez Mondragon, MD

• Internal Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.

Verify at the official NPI Registry.