Active NPI
Amin Elmalah, M.D.
- Internal Medicine Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12568R
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437719 | Medicaid | LA | |
| P00259854 | Other | LA | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Avalon Place | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12568R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciometrix Inc | Current | Accepting new patients | |
| St Francis Medical Center, Inc | Current | Accepting new patients | |
| Internal Medicine of the Twin Cities | Internal Medicine | Current | Accepting new patients |
| Monroe Surgical Hospital, LLC | Current | Accepting new patients | |
| Monroe Surgical Hospital, LLC | Current | Accepting new patients | |
| St. Francis Medical Center, Inc. | Current | Accepting new patients | |
| Monroe Surgical Hospital, LLC | Current | Accepting new patients | |
| Southern Endocrinology LLC | Past | Accepting new patients | |
| CHG Hospital West Monroe, LLC | Past | Accepting new patients | |
| Cornerstone Hospital of West Monroe | Past | 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 | Past | 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
- internalmedicineofthetwincities.aminelmalah@118405.advancedmd-direct.com
- 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.
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1912956863
Internal Medicine, LA
-
- Rural Health Clinic/Center
- Mangham, LA
- NPI 1871153379
-
- Rehabilitation Hospital Unit
- Monroe, LA
- NPI 1013906239
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
-
- Family Medicine Physician
- Mangham, LA
- NPI 1275193773
-
- Primary Care Clinic/Center
- Monroe, LA
- NPI 1437552106
-
- Nursing Facility Supplies (DME)
- Monroe, LA
- NPI 1396754750
-
- Long Term Care Hospital
- West Monroe, LA
- NPI 1134518632
-
- Skilled Nursing Facility
- West Monroe, LA
- NPI 1316905870
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- West Monroe, LA
- NPI 1093796138
Nursing home
-
- Home Health Agency
- Rayville, LA
- NPI 1386647659
-
- Long Term Care Hospital
- Monroe, LA
- NPI 1528385382
Long-term care hospital
-
- Long Term Care Hospital
- West Monroe, LA
- NPI 1528855111
Long-term care hospital
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, LLCInternal Medicine of the Twin CitiesSt Francis Medical Center IncSciometrix Inc
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
- Fmol Health St Francis
- Monroe Surgical Hospital
- Glenwood Regional Medical Center
- Northern Louisiana Medical Center
- Morehouse General Hospital
- Cornerstone Specialty Hospitals West Monroe
- Specialty Hospital
- Landmark Nursing & Rehabilitation Ctr of West Mon
- Avalon Place
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.25 of 100
- Quality
- 87.55
- Improvement activities
- 40
- Cost
- 64.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.