AMAL EZZAIYANI MD
NPI 1629481155
Pediatrics - Pediatric Nephrology in Baton Rouge, LA

Q: What is Amal Ezzaiyani's NPI number?

The NPI number for Amal Ezzaiyani is 1629481155. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Q: What is Amal Ezzaiyani's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Amal Ezzaiyani was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2014PECOS Enrolled

8200 CONSTANTIN BLVD FL 4, BATON ROUGE, LA 70809(225) 765-5500(225) 765-1202 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 19, 2022, Aug 4, 2021 (2 updates tracked since 2021).

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About Amal Ezzaiyani Md NPPES

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

AMAL EZZAIYANI MD (NPI 1629481155) is an individual pediatric nephrology provider in Baton Rouge, Louisiana, licensed in Louisiana (328258) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1629481155

Entity TypeIndividualFemale

Primary Taxonomy2080P0210X

Provider Legal NameAMAL EZZAIYANICredential: MD

Location Address8200 CONSTANTIN BLVD FL 4Baton Rouge, LA 70809-3481

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5500 · Fax (225) 765-9196

Phone(225) 765-5500

Fax(225) 765-1202

Sole ProprietorNo

Enumeration DateJune 2, 2014

Last NPPES UpdateApril 19, 20222 updates tracked since enumeration

NPPES CertifiedApril 19, 2022

✔ NPI 1629481155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in LA · 328258

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8200 CONSTANTIN BLVD FL 4, Baton Rouge, LA 70809

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Secondary Practice Location 1

Location 11 Brookdale PlzBrooklyn, NY 11212-3139 · Phone (718) 240-5000 ext. 5435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amal Ezzaiyani 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.

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.

CHANTAL SALIM LUTFALLAH MD

Pediatrics (Pediatric Endocrinology)