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DR. MAI KAMAL EL MALLAH MD
NPI 1265548499
Pediatrics - Pediatric Pulmonology in Durham, NC

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
CHC ERWIN ROAD DUKE UNIVERSITY MEDICAL CENTER, DURHAM, NC 27710(919) 684-8657(919) 684-2292 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2018, Aug 14, 2017 (2 updates tracked since 2017).

About Dr. Mai Kamal El Mallah Md NPPES

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

DR. MAI KAMAL EL MALLAH MD (NPI 1265548499) is an individual pediatric pulmonology provider in Durham, North Carolina, licensed in North Carolina (225653) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1265548499
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameDR. MAI KAMAL EL MALLAHCredential: MD
Location AddressCHC ERWIN ROAD DUKE UNIVERSITY MEDICAL CENTERDurham, NC 27710
Mailing AddressChildren's Health CenterDurham, NC 27710-0001 · (919) 684-3960 · Fax (919) 684-2292
Phone(919) 684-8657
Fax(919) 684-2292
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration
✔ NPI 1265548499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in NC · 225653✔ Licensed in MA · 258806✔ Licensed in FL · ME114366
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedPediatricsTaxonomy 208000000X · License 258806 (MA)
CHC ERWIN ROAD DUKE UNIVERSITY MEDICAL CENTER, Durham, NC 27710
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Other Identifiers 4

OtherS400170191MA · Medicare
Medicaid177152901TX
Medicaid110100625AMA
Medicaid007206400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mai Kamal El Mallah Md 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 ID9830119049
PECOS Enrollment IDI20170905002260
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.

Medicare Billing Reassignment

Medicare enrollment records show Mai El Mallah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke Health Integrated Practice, Inc.
0.3 mi
General Practice
40 DUKE MEDICINE CIR
Durham, NC 27710
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,671 clinicians in this Medicare group
NPI 1205553369 (919) 620-4855

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

MARAN YELITZA HERNANDEZ RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
CHC ERWIN ROAD DUKE UNIVERSITY MEDICAL CENTER
DURHAM, NC 27710
Durham County (919) 684-8657

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 Mai El Mallah's NPI number?

The NPI number for Mai El Mallah is 1265548499. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Mai El Mallah located?

Mai El Mallah practices at Chc Erwin Road Duke University Medical Center, Durham, NC 27710. The listed phone number is (919) 684-8657.

What is Mai El Mallah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Mai El Mallah enrolled in Medicare?

Yes. Mai El Mallah 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.

Which organization bills Medicare for Mai El Mallah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mai El Mallah reassigns Medicare benefits to Duke Health Integrated Practice, Inc. (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mai El Mallah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mai El Mallah accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Mai El Mallah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mai El Mallah was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.