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

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: August 02, 2026.

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

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
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

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

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

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.

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

Hospital Affiliations CMS Care Compare 5

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

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250009
Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County
Emergency services Birthing friendly

Webster General Hospital/ Swing Bed

Acute Care Hospitals · Eupora, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250020
Location70 Medical PlazaEupora, MS 39744 · Webster County
Emergency services

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.

Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Nurse Practitioner (Adult Health)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Nurse Practitioner (Acute Care)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR, 1542 MEDICAL PARK CIRCLE
TUPELO, MS 38801
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Nurse Practitioner (Family)
1542 MEDICAL PARK CIR
TUPELO, MS 38801

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.

What insurance does Amita Maibam accept?

Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare 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, Magnolia Regional Health Center, Webster General Hospital/ Swing Bed, 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 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.