NPIMap

Individual provider Active NPI

Rafiq M. El Hammali, MD

  • Nephrology Physician
  • Douglasville, GA
National Provider Identifier
1396965547
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
057606 Issued in GA
Practice address
6095 Professional Pkwy
Suite B205
Douglasville, GA 30134-5607
Phone
(770) 577-4825
Fax
(770) 577-4827
NPI assigned
Apr 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 057606 GA
Nephrology Physician 207RN0300X 057606 GA Primary

Addresses

Primary practice location

6095 Professional Pkwy
Suite B205
Douglasville, GA 30134-5607

Mailing address

PO Box 385
Douglasville, GA 30133-0385
Phone (770) 577-4825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000352 GA Practitioner - NephrologyPractitioner - Internal Medicine 3870684863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6095 Professional Pkwy
Suite B205
Douglasville, GA 30134-5611
Phone (770) 577-4825

Hospital & facility affiliations

  • Fresenius Kidney Care Chapel Hill Dialysis facility, Douglasville, GA, CCN 112879
  • USRC Georgia Home Therapies Dialysis facility, Canton, GA, CCN 112890
  • DaVita Arbor Place Dialysis Dialysis facility, Douglasville, GA, CCN 112807
  • Fresenius Medical Care Douglas County Dialysis facility, Douglasville, GA, CCN 112694
  • DaVita Douglasville Dialysis Dialysis facility, Douglasville, GA, CCN 112526
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Nephrology Clinic LLC Nephrology CurrentSince Oct 1, 2007 Accepting new patients
Kidney Care Specialists LLC CurrentSince Jan 1, 2016 Accepting new patients
Bio-Medical Applications of Georgia, Inc. PastSince Apr 10, 2017 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Innovative Home Dialysis of Georgia, LLC PastSince Jan 1, 2022 Accepting new patients

Locations

6095 Professional Pkwy
Ste B205
Douglasville, GA 30134
Phone (404) 422-8574

6095 Professional Pkwy
Ste B210
Douglasville, GA 30134
Phone (770) 577-4825

Interoperability endpoints

  • Direct secure messaging: relhammali32187@direct.acumenmd.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1396965547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301330385",
            "telephone_number": "770-577-4825",
            "fax_number": "770-577-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 PROFESSIONAL PKWY",
            "address_2": "SUITE B205",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345607",
            "telephone_number": "770-577-4825",
            "fax_number": "770-577-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL HAMMALI",
        "first_name": "RAFIQ",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "057606",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "057606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.