Individual provider Active NPI

Amin Elmalah, M.D.

  • Internal Medicine Physician
  • Monroe, LA
National Provider Identifier
1760418628
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12568R Issued in LA
Practice address
2503 Broadmoor Blvd
Monroe, LA 71201-2987
Phone
(318) 388-6050
Fax
(318) 388-3204
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12568R LA Primary

Addresses

Primary practice location

2503 Broadmoor Blvd
Monroe, LA 71201-2987

Mailing address

PO Box 4966
Monroe, LA 71211-4966
Phone (318) 388-6050

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Other identifiers 2

IdentifierTypeStateIssuer
1437719MedicaidLA
P00259854OtherLARAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aelmalah16310@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20040329000519 LA Practitioner - Internal Medicine 9234021775 Reassigns benefits to 4 organizations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avalon PlaceMonroe, LA, CCN 195492 Skilled nursing facility Adp of the SNF Jan 1, 2002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12568RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix Inc CurrentSince Apr 15, 2023 Accepting new patients
St Francis Medical Center, Inc CurrentSince Sep 30, 2002 Accepting new patients
Internal Medicine of the Twin Cities Internal Medicine CurrentSince Jan 26, 2003 Accepting new patients
Monroe Surgical Hospital, LLC CurrentSince Jan 12, 2024 Accepting new patients
Monroe Surgical Hospital, LLC Current Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Sep 30, 2002 Accepting new patients
Monroe Surgical Hospital, LLC CurrentSince Jan 12, 2024 Accepting new patients
Southern Endocrinology LLC Past Accepting new patients
CHG Hospital West Monroe, LLC Past Accepting new patients
Cornerstone Hospital of West Monroe PastSince Apr 30, 2003 Accepting new patients
Avalon Place, LP Past Accepting new patients
SFN Professional Management Past Accepting new patients
Commcare Corporation Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
Landmark Nursing Center of West Monroe LLC Past Accepting new patients
St Francis Specialty Hospital,Inc Past Accepting new patients

Locations

750 Florida St
#3517
Baton Rouge, LA 70801
Phone (202) 983-1987

750 Florida St
Ste 3517
Baton Rouge, LA 70801

1601 Lamy Ln
Monroe, LA 71201
Phone (318) 387-3453

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

2503 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-7726

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

920 Oliver Rd
Ste B
Monroe, LA 71201
Phone (318) 327-6201

3510 Magnolia Cv
Ste 180
Monroe, LA 71203
Phone (318) 340-9600

3421 Medical Park Dr
Monroe, LA 71203
Phone (318) 327-4686

3510 Medical Park Dr
Ste 9
Monroe, LA 71203
Phone (318) 388-6050

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • Direct secure messaging: internalmedicineofthetwincities.aminelmalah@118405.advancedmd-direct.com
  • Direct secure messaging: aelmalah16310@direct.casso.us.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Surgical Hospital, LLC 6 clinicians
Internal Medicine of the Twin Cities 4 clinicians
St Francis Medical Center Inc 9 clinicians
Sciometrix Inc 46 clinicians

Practice addresses (Care Compare)

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 410-0002

2503 Broadmoor Blvd
Monroe, LA 71201-2987
Phone 318388605012

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

750 Florida St
Suite 3517
Baton Rouge, LA 70801-1714
Phone (860) 335-5064

Hospital & facility affiliations

  • Primestar Home Health Inc Home health agency, Rayville, LA, CCN 197426
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086
  • Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116
  • Cornerstone Specialty Hospitals West Monroe Long-term care hospital, West Monroe, LA, CCN 192031
  • Specialty Hospital Long-term care hospital, Monroe, LA, CCN 192016
  • Landmark Nursing & Rehabilitation Ctr of West Mon Nursing home, West Monroe, LA, CCN 195438
  • Avalon Place Nursing home, Monroe, LA, CCN 195492

Merit-based Incentive Payment System (MIPS)

Final score
94.25 of 100Reported as group
Quality
87.55
Improvement activities
40
Cost
64.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1760418628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4966",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114966",
            "telephone_number": "318-388-6050",
            "fax_number": "318-998-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012987",
            "telephone_number": "318-388-6050",
            "fax_number": "318-388-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-7359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMALAH",
        "first_name": "AMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12568R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437719",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00259854",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aelmalah16310@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aelmalah16310@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.