1. Home
  2. Directory
  3. Alabama
  4. Montgomery
  5. Internal Medicine
  6. NPI Profile

OMMAYA MAIMOONA
NPI 1205562691
Internal Medicine in Montgomery, AL

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
2055 E SOUTH BLVD STE 200, MONTGOMERY, AL 36116(334) 747-7569 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ommaya Maimoona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMMAYA MAIMOONA (NPI 1205562691) is an individual internal medicine provider in Montgomery, Alabama, licensed in Alabama (MD.50563) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205562691
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameOMMAYA MAIMOONA
Location Address2055 E SOUTH BLVD STE 200Montgomery, AL 36116-2002
Mailing Address12303 Legends DrMontgomery, AL 36116-6593 · (334) 424-5500
Phone(334) 747-7569
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 27, 2022
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
✔ NPI 1205562691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AL · MD.50563
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2055 E SOUTH BLVD STE 200, Montgomery, AL 36116
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ommaya Maimoona is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759870058
PECOS Enrollment IDI20251028001695
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TALHA PERWEZ
Student in an Organized Health Care Education/Training Program
2055 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Montgomery County (334) 551-2002
USAMA HOSAIN MD
Student in an Organized Health Care Education/Training Program
2055 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Montgomery County (334) 747-7547
DR. LAUREN VICTORIA ODOM MD, MPH
Student in an Organized Health Care Education/Training Program
2055 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Montgomery County (334) 747-7597
DR. MICHAEL CHRISTIAN MILEY DO
Internal Medicine
2055 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Montgomery County (334) 747-7569
MAVIA HABIB
Student in an Organized Health Care Education/Training Program
2055 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Montgomery County (334) 747-7575
DR. VIKAASH HARIHARAN
Internal Medicine
2055 E SOUTH BLVD STE 200
MONTGOMERY, AL 36116
Montgomery County (334) 284-5211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ommaya Maimoona's NPI number?

The NPI number for Ommaya Maimoona is 1205562691. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Ommaya Maimoona located?

Ommaya Maimoona practices at 2055 E South Blvd Ste 200, Montgomery, AL 36116. The listed phone number is (334) 747-7569.

What is Ommaya Maimoona's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ommaya Maimoona enrolled in Medicare?

Yes. Ommaya Maimoona is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ommaya Maimoona was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.