DR. IZZEDDIN KAMELMAZ MD
NPI 1346344421
Pediatrics in Vicksburg, MS

Q: What is Izzeddin Kamelmaz's NPI number?

The NPI number for Izzeddin Kamelmaz is 1346344421. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Izzeddin Kamelmaz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Izzeddin Kamelmaz was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 11, 2006PECOS Enrolled

2100 HIGHWAY 61 N, VICKSBURG, MS 39183(601) 883-6001 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 11, 2020, Dec 3, 2015 (2 updates tracked since 2015).

On this page

About Dr. Izzeddin Kamelmaz Md NPPES

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

DR. IZZEDDIN KAMELMAZ MD (NPI 1346344421) is an individual pediatrics provider in Vicksburg, Mississippi, licensed in Alabama (22462) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Magee.

NPPES Registry Identity

NPI1346344421

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. IZZEDDIN KAMELMAZCredential: MD

Location Address2100 HIGHWAY 61 NVicksburg, MS 39183-8211

Mailing Address360 Simpson Hwy 149, Suite 250Magee, MS 39111-3842 · (601) 849-1550 · Fax (601) 849-1551

Phone(601) 883-6001

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2020

✔ NPI 1346344421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AL · 22462

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2100 HIGHWAY 61 N, Vicksburg, MS 39183

Open in Google Maps ↗

Secondary Practice Location 1

Location 1360 Simpson Hwy 149, Suite 250Magee, MS 39111-3842 · Phone (601) 849-1550 · Fax (601) 849-1551

Other Identifiers 3

Other051092816AL · Bcbs

Medicaid000092816AL

Other20947MS · Ms License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health 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 (PECOS)

Dr. Izzeddin Kamelmaz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Izzeddin Kamelmaz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vicksburg Clinic LLC

0.2 mi

Family Medicine

2100 HIGHWAY 61 N
Vicksburg, MS 39183

Reassigned Medicare billing, Mississippi enrollment
41 clinicians in this Medicare group

NPI 1790711158 (601) 883-5000

Family Health Care Clinic, Inc.

43 mi

Federally Qualified Health Center (FQHC)

544 KEYWAY DR STE A
Flowood, MS 39232

Reassigned Medicare billing, Mississippi enrollment
70 clinicians in this Medicare group

NPI 1689440133 (601) 825-7280

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39183 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

40%25 patients2/55-star benchmark: 95%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

29%160 patients2/55-star benchmark: 96%

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 34% · 655 patients

Patients physicalActivity: 33% · 655 patients

81%655 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MR. MICHAEL J MCREYNOLDS CRNA

Nurse Anesthetist, Certified Registered