Individual provider Active NPI

Elena Ann Roumaya, M.D.

  • Family Medicine Physician
  • Haleyville, AL
National Provider Identifier
1962936096
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48539 Issued in AL
Practice address
42024 Al-195
Haleyville, AL 35565
Phone
(205) 486-5213
NPI assigned
Apr 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48539 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 61637 TN

Addresses

Primary practice location

42024 Al-195
Haleyville, AL 35565

Mailing address

6544 Silvio St
Garden City, MI 48135-1631
Phone (734) 674-0589

Other practice location 1

625 19th St S
Birmingham, AL 35233-1900
Phone (256) 551-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200827000759 TN Practitioner - Family Practice 1456778026 Reassigns benefits to 1 organization
I20240429001109 AL Practitioner - Emergency Medicine 1456778026 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestwood HB Medical Services LLCGroup PAC ID 2163876491, 48 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

Hospital & facility affiliations

  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Merit-based Incentive Payment System (MIPS)

Final score
41.83 of 100Reported as group
Quality
3.95
Improvement activities
40
Cost
82.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48539ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood HB Medical Services LLC CurrentSince Apr 1, 2024 Accepting new patients
Emergency Medical Care Facilities PC CurrentSince Sep 15, 2020 Accepting new patients
Sycamore Lakeland LLC CurrentSince Jun 12, 2024 Accepting new patients
Coffee County Physician Group PC CurrentSince Jul 20, 2024 Accepting new patients

Locations

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

Organizations & group practices 5

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 1

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": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1962936096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 SILVIO ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351631",
            "telephone_number": "734-674-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42024 AL-195",
            "city": "HALEYVILLE",
            "state": "AL",
            "postal_code": "35565",
            "telephone_number": "205-486-5213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "256-551-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUMAYA",
        "first_name": "ELENA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-14",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "48539",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "61637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleyville, AL

Sources for this page

Verify at the official NPI Registry.