AMITA MAIBAM M.D.
NPI 1487020806
Internal Medicine - Nephrology in Tupelo, MS

Q: What is Amita Maibam's NPI number?

The NPI number for Amita Maibam is 1487020806. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Amita Maibam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Amita Maibam was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 19, 2015PECOS EnrolledAccepts Medicare Assignment

1542 MEDICAL PARK CIR, TUPELO, MS 38801(662) 844-4711(662) 844-9619 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2019, Jul 23, 2017 (2 updates tracked since 2017).

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About Amita Maibam M.d. NPPES

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

AMITA MAIBAM M.D. (NPI 1487020806) is an individual nephrology provider in Tupelo, Mississippi, licensed in Mississippi (26530) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1487020806

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameAMITA MAIBAMCredential: M.D.

Location Address1542 MEDICAL PARK CIRTupelo, MS 38801-6560

Mailing Address1542 Medical Park CirTupelo, MS 38801-6560 · (662) 844-4711 · Fax (662) 844-9619

Phone(662) 844-4711

Fax(662) 844-9619

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateAugust 19, 2015

Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration

✔ NPI 1487020806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in MS · 26530

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1542 MEDICAL PARK CIR, Tupelo, MS 38801

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Secondary Practice Location 1

Location 1University Of Kentucky 800 Rose StLexington, KY 40536-0293 · Phone (859) 323-2636

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and accepts Medicare assignment

Amita Maibam M.d. 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 ID6901179639

PECOS Enrollment IDI20190813003147

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 Amita Maibam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology & Hypertension Associates, Ltd.

0.1 mi

Nephrology

1542 MEDICAL PARK CIR
Tupelo, MS 38801

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

NPI 1902975139 (662) 844-4711

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

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

530 services342 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

507 services340 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

502 services339 patients

Phosphate level 84100

A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.

472 services314 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

469 services312 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

356 services296 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

276 services125 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

254 services43 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

153 services84 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

152 services114 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

136 services133 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

109 services105 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

104 services88 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

61 services61 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services43 patients

Kidney function blood test panel 80069

A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.

30 services30 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

26 services21 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

22 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250004

Location830 S Gloster StreetTupelo, MS 38801 · Lee County

Emergency services Birthing friendly

North Mississippi Medical Center-Gilmore Amory

Acute Care Hospitals · Amory, MS

4/5 CMS rating

OwnershipProprietary

CMS Certification Number250025

Location1105 Earl Frye BlvdAmory, MS 38821 · Monroe County

Emergency services Birthing friendly

Pontotoc Health Service Inc Cah

Critical Access Hospitals · Pontotoc, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251308

Location176 South Main StreetPontotoc, MS 38863 · Pontotoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier13 claims1,170 services$0.27 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier12 claims12 services$17.36 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier11 claims11 services$11.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

DR. MARCUS LOUIS BRITTON M.D.

Internal Medicine (Nephrology)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 844-4711

JEANNIE D PENCE CANP

Nurse Practitioner (Adult Health)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 844-4711

HARMINDER K ATWAL ACNP-BC

Nurse Practitioner (Acute Care)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 844-4711

NEPHROLOGY AND HYPERTENSION ASSOCIATES, LTD

Internal Medicine (Nephrology)

1542 MEDICAL PARK CIR, 1542 MEDICAL PARK CIRCLE
TUPELO, MS 38801

Lee County (662) 844-4711

JOHN MARTIN LEE JR. MD

Internal Medicine (Nephrology)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 844-4711

RENAL CARE GROUP TUPELO, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 841-2315

CALVIN CHARLES PATRICK BAKER MD

Internal Medicine (Nephrology)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 844-4711

MRS. BRANDY M MCCAIN CRNP

Nurse Practitioner (Family)

1542 MEDICAL PARK CIR
TUPELO, MS 38801

Lee County (662) 844-4711

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 Amita Maibam's NPI number?

The NPI number for Amita Maibam is 1487020806. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Amita Maibam located?

Amita Maibam practices at 1542 Medical Park Cir, Tupelo, MS 38801. The listed phone number is (662) 844-4711.

What is Amita Maibam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Amita Maibam enrolled in Medicare?

Yes. Amita Maibam 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 Amita Maibam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amita Maibam reassigns Medicare benefits to Nephrology & Hypertension Associates, Ltd. (Tupelo, MS). 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 Amita Maibam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amita Maibam accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 5 other insurers list Amita Maibam 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.

Is Amita Maibam affiliated with any hospitals?

According to CMS data, Amita Maibam is affiliated with North Mississippi Medical Center, North Mississippi Medical Center-Gilmore Amory and Pontotoc Health Service Inc Cah.

When was this NPI record last updated?

The NPPES record for Amita Maibam was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.