Individual provider Active NPI

Malak Ehab Elgammal

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1467289264
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
520 W Fayette St Ste 300
Baltimore, MD 21201-1756
Phone
(410) 979-4547
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

520 W Fayette St Ste 300
Baltimore, MD 21201-1756

Mailing address

10226 Camelford CT
Ellicott City, MD 21042-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250819004976 DC Practitioner - Physician Assistant 4880193424 Reassigns benefits to 1 organization
I20250819005091 MD Practitioner - Physician Assistant 4880193424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Call Medical Center LLC 28 clinicians
Centennial Medical Group, PA 34 clinicians

Practice addresses (Care Compare)

10120 Baltimore National Pike
Ellicott City, MD 21042-3614
Phone (410) 694-7999

10981 Johns Hopkins Rd
Laurel, MD 20723-6002
Phone 4107303399100

15646 Old Columbia Pike
Burtonsville, MD 20866-1630
Phone (301) 421-1214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Call Medical Center LLC CurrentSince Jun 24, 2025 Accepting new patients
Centennial Medical Group, PA CurrentSince Jun 24, 2025 Accepting new patients
First Call Medical Center LLC Current Accepting new patients
Centennial Medical Group, PA CurrentSince Jun 24, 2025 Accepting new patients
First Call Medical Center LLC CurrentSince Jun 24, 2025 Accepting new patients
First Call Medical Center LLC CurrentSince Jun 24, 2025 Accepting new patients

Locations

15646 Old Columbia Pike
Burtonsville, MD 20866
Phone (301) 421-1214

6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111

10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1467289264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10226 CAMELFORD CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W FAYETTE ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011756",
            "telephone_number": "410-979-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGAMMAL",
        "first_name": "MALAK",
        "middle_name": "EHAB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.