JAMAL ATALLA M.D.
NPI 1609861566
Internal Medicine - Nephrology in Phoenix, AZ

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
5040 N 15TH AVE, SUITE 107, PHOENIX, AZ 85015(602) 200-9711(602) 200-9712 Get Directions Write a Review

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

Record update history: Jun 26, 2018, Jul 26, 2017, Feb 5, 2016 (3 updates tracked since 2016).

About Jamal Atalla M.d. NPPES

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

JAMAL ATALLA M.D. (NPI 1609861566) is an individual nephrology provider in Phoenix, Arizona, licensed in Arizona (35493) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1609861566
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAMAL ATALLACredential: M.D.
Location Address5040 N 15TH AVE, SUITE 107Phoenix, AZ 85015-3328
Mailing Address6622 N 91st Ave, Ste 220Glendale, AZ 85305-2569 · (602) 759-6883 · Fax (602) 224-3358
Fax(602) 200-9712
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJune 26, 20183 updates tracked since enumeration
NPI 1609861566 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 AZ · 35493
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.

5040 N 15TH AVE, Phoenix, AZ 85015

Other Identifiers 1

Medicaid143853AZ

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

Jamal Atalla 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 ID5890760391
PECOS Enrollment IDI20060712000016
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 9

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.

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.
156 services85 patients
Ultrasound of hemodialysis access 93990
An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.
85 services78 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
43 services39 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.
31 services15 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
29 services13 patients
Insertion of needle and/or tube into hemodialysis circuit with review by radiologist 36901
This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85015 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
77%35 patients2/55-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.
45%481 patients2/55-star benchmark: 97%
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…
100%481 patients5/55-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%481 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
9%481 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.

Family Medicine
5040 N 15TH AVE, SUITE 202
PHOENIX, AZ 85015
Clinic/Center (VA)
5040 N 15TH AVE
PHOENIX, AZ 85015
Behavior Analyst
5040 N 15TH AVE
PHOENIX, AZ 85015
Internal Medicine (Nephrology)
5040 N 15TH AVE, STE 205
PHOENIX, AZ 85015
Family Medicine
5040 N 15TH AVE, SUITE 202
PHOENIX, AZ 85015
Family Medicine
5040 N 15TH AVE, 202
PHOENIX, AZ 85015
Internal Medicine (Nephrology)
5040 N 15TH AVE, SUITE 107
PHOENIX, AZ 85015
Physiological Laboratory
5040 N 15TH AVE, MOBILE UNIT
PHOENIX, AZ 85015

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 Jamal Atalla's NPI number?

The NPI number for Jamal Atalla is 1609861566. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Jamal Atalla located?

Jamal Atalla practices at 5040 N 15th Ave Suite 107, Phoenix, AZ 85015. The listed phone number is (602) 200-9711.

What is Jamal Atalla's specialty?

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

Is Jamal Atalla enrolled in Medicare?

Yes. Jamal Atalla 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 Jamal Atalla accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Jamal Atalla 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 Jamal Atalla was last updated on June 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.