Active NPI
Mboh E Elango, M.D
- Emergency Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 001398
- Practice address
- 1039 Grant St SE Ste D12
Atlanta, GA 30315-2014 - Phone
- (678) 736-5248
- NPI assigned
- Feb 13, 2008
- Last updated
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 001398 | GA | Primary |
Addresses
Primary practice location
1039 Grant St SE Ste D12
Atlanta, GA 30315-2014
Mailing address
1195 Milton Ter SE Apt 2201
Atlanta, GA 30315-2428
Phone (678) 778-6983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Morehouse School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000
Hospital & facility affiliations
- Coliseum Medical Centers, LLC, Dba
- Phoebe Putney Memorial Hospital
- Piedmont Columbus Regional Midtown
- Piedmont Augusta Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.67 of 100
- Improvement activities
- 40
- Cost
- 79.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001398 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Peach State Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Medici Urgent Care and Wellness Center | Emergency Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Emergency Group of Columbus, LLC | Emergency Medicine | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Emory Specialty Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Emerginet SRMC, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Central Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Lagrange Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| The Bortolazzo Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Parkway Anesthesia Consultants, PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inphynet Primary Care Physicians Southeast PC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
1039 Grant St SE
Ste D12
Atlanta, GA 30315
Phone (678) 736-5248
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
303 Parkway Dr NE
Atlanta, GA 30312
Phone (404) 265-4000
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
2801 DeKalb Medical Pkwy
Stonecrest, GA 30058
Phone (404) 501-5374
2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 21
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.
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
-
- Emergency Medicine Physician
- Macon, GA
- NPI 1598126641
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1538118344
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
Emergency Medicine
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1003321969
-
- Emergency Medicine Physician
- Lagrange, GA
- NPI 1760437560
-
- Emergency Medicine Physician
- Augusta, GA
- NPI 1053170605
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Emergency Medicine Physician
- Austell, GA
- NPI 1801965082
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Piedmont Macon Medical Center
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
dba Piedmont Columbus Regional Midtown
- General Acute Care Hospital
- Columbus, GA
- NPI 1255401519
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1487822391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1195 MILTON TER SE APT 2201",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303152428",
"telephone_number": "678-778-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 GRANT ST SE STE D12",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303152014",
"telephone_number": "678-736-5248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELANGO",
"first_name": "MBOH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-13",
"last_updated": "2021-08-16",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "001398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.