DR. WAEL ELMALLAH MD, MSC, PHD
NPI 1487861712
Internal Medicine - Interventional Cardiology in New Britain, CT

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
1 LAKE ST, SUITE 204, NEW BRITAIN, CT 06052(860) 223-0220 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, Oct 20, 2020 (2 updates tracked since 2020).

About Dr. Wael Elmallah Md, Msc, Phd NPPES

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

DR. WAEL ELMALLAH MD, MSC, PHD (NPI 1487861712) is an individual interventional cardiology provider in New Britain, Connecticut, licensed in Connecticut (55451) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wethersfield, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1487861712
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. WAEL ELMALLAHCredential: MD, MSC, PHD
Location Address1 LAKE ST, SUITE 204New Britain, CT 06052-1396
Mailing Address2110 Silas Deane HwyRocky Hill, CT 06067-2353 · (860) 258-3480 · Fax (860) 571-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
NPI 1487861712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in CT · 55451
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35. 091561 (OH)
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X · License 55451 (CT)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 55451 (CT)
Also ListedPediatricsTaxonomy 208000000X · License 35. 091561 (OH)
1 LAKE ST, New Britain, CT 06052

Secondary Practice Location 1

Location 11260 Silas Deane Hwy Ste 109Wethersfield, CT 06109-4363 · Phone (860) 258-3477

Other Identifiers 1

MedicaidD400332473CT

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

Dr. Wael Elmallah Md, Msc, Phd 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 ID1557549169
PECOS Enrollment IDI20161012000228
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 20

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
699 services488 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
216 services128 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.
168 services101 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.
89 services86 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
82 services82 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
76 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%554 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%356 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
22%501 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
20%501 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%501 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$61.89 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 20

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

Physical Therapist
1 LAKE ST
NEW BRITAIN, CT 06052
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Physician Assistant
1 LAKE ST
NEW BRITAIN, CT 06052
Ophthalmology
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Ophthalmology
1 LAKE ST
NEW BRITAIN, CT 06052
Internal Medicine (Sports Medicine)
1 LAKE ST
NEW BRITAIN, CT 06052
Dermatology (Procedural Dermatology)
1 LAKE ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Orthopaedic Surgery
1 LAKE ST
NEW BRITAIN, CT 06052

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 Wael Elmallah's NPI number?

The NPI number for Wael Elmallah is 1487861712. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Wael Elmallah located?

Wael Elmallah practices at 1 Lake St Suite 204, New Britain, CT 06052. The listed phone number is (860) 223-0220.

What is Wael Elmallah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Wael Elmallah enrolled in Medicare?

Yes. Wael Elmallah 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 Wael Elmallah was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.