Adel Ramzi Malati, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18853 Issued in OK

Practice address

1201 S Belmont
Suite #101
Okmulgee, OK 74447

Phone

(918) 756-2800

Fax

(918) 756-2861

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adel R Malati, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Okmulgee, OK
  • NPI 1073836532
  NPD Authorized official
• Omh Home Health

  • Home Health Agency
  • Okmulgee, OK
  • NPI 1831191543
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1740286467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BELMONT",
            "address_2": "SUITE #101",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-2800",
            "fax_number": "918-756-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BELMONT",
            "address_2": "SUITE #101",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-2800",
            "fax_number": "918-756-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALATI",
        "first_name": "ADEL",
        "middle_name": "RAMZI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18853",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067408M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120460B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120460D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrick Leonard
• April Lynn Lucas
• Tifanie Lyn, MS
• Rose Ann Lynch
• Mollyeanna Mabrey
• Hani Ramzi Malati, M.D.
• Lawanda Manous
• Michelle Elaine Marinelli, APRN
• Martha M Robinson MD PC
• Jensen Martin, PTA

• Internal Medicine Physician in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.