NPIMap

Individual provider Active NPI

Edward Antoine El-Am, MD

  • Cardiovascular Disease Physician
  • Rochester, MN
National Provider Identifier
1922560895
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
71036 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-5209
Phone
(507) 284-2511
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 93643 SC
Cardiovascular Disease Physician 207RC0000X 71036 MN Primary

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-5209

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

1120 W Michigan St # Cl630
Indianapolis, IN 46202-5209
Phone (317) 278-2689

Other practice location 2

421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818

Other identifiers 1

IdentifierTypeStateIssuer
936438MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eelam530838@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616001644 SC Practitioner - Internal Medicine 9133454333 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93643SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Cardiovascular Disease CurrentSince Sep 15, 2025 Accepting new patients
Self Regional Healthcare Partners CurrentSince Jul 1, 2025 Accepting new patients
Self Regional Healthcare Partners Cardiovascular Disease CurrentSince Jul 1, 2025 Accepting new patients
Self Medical Group Cardiovascular Disease CurrentSince Jul 1, 2025 Accepting new patients
Self Regional Healthcare CurrentSince Sep 15, 2025 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Self Regional Healthcare Partners Current Accepting new patients
Self Medical Group CurrentSince Jul 1, 2025 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

905 W Greenwood St
Abbeville, SC 29620
Phone (864) 223-8090

23013 Highway 76 E
#A
Clinton, SC 29325
Phone (864) 223-8090

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146

421 Epting Ave
Greenwood, SC 29646
Phone (864) 227-6818

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

104 Wells Ave
Greenwood, SC 29646

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: eelam573972@selfregional.direct-ci.net

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1922560895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559055209",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 W Michigan St # Cl630",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-278-2689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Epting Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464041",
            "country_code": "US",
            "telephone_number": "864-227-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-AM",
        "first_name": "EDWARD",
        "middle_name": "ANTOINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "93643",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "71036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936438",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eelam530838@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559055209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.