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DR. MIRIAM AMBALU MD
NPI 1639126576
Emergency Medicine in Stamford, CT

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
30 SHELBURNE RD, STAMFORD, CT 06902(203) 276-7595 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Miriam Ambalu Md NPPES

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

DR. MIRIAM AMBALU MD (NPI 1639126576) is an individual emergency medicine provider in Stamford, Connecticut, licensed in Connecticut (052753) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1990).

NPPES Registry Identity

NPI1639126576
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. MIRIAM AMBALUCredential: MD
Location Address30 SHELBURNE RDStamford, CT 06902-3628
Mailing Address31 Disbrow CirNew Rochelle, NY 10804-2503 · (914) 636-0410
Phone(203) 276-7595
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1990
Enumeration DateMay 27, 2006
Last NPPES UpdateMarch 31, 2014
✔ NPI 1639126576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 052753
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
30 SHELBURNE RD, Stamford, CT 06902
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Other Identifiers 2

Medicare ID-Type Unspecified023316DHKNJ
Medicare UPING57275NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Dr. Miriam Ambalu Md 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 ID143413724
PECOS Enrollment IDI20140404001665
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
120 services116 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
92 services92 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 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.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

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.

DR. RONALD GIANNOTTO M.D.
Anesthesiology
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7000
DR. ALEXANDR RAFAILOV MD
Emergency Medicine
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7777
THE STAMFORD HOSPITAL
Pharmacy (Community/Retail Pharmacy)
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 325-5767
DR. MICHAEL KOFI ADUSEI M.D.
Psychiatry & Neurology (Addiction Psychiatry)
30 SHELBURNE RD, STAMFORD HOSPITAL
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000
SARAH FEIGENBAUM PA
Physician Assistant
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000
DR. CHAO GUO MD
Internal Medicine
30 SHELBURNE RD, DEPT OF MEDICINE
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7147
DR. ALLA ROMAN KOORN M.D.
Anesthesiology
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-7000
MS. DIANE GOODWIN PA-C
Physician Assistant (Surgical)
30 SHELBURNE RD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-1000

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 Miriam Ambalu's NPI number?

The NPI number for Miriam Ambalu is 1639126576. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Miriam Ambalu located?

Miriam Ambalu practices at 30 Shelburne Rd, Stamford, CT 06902. The listed phone number is (203) 276-7595.

What is Miriam Ambalu's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Miriam Ambalu enrolled in Medicare?

Yes. Miriam Ambalu 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 Miriam Ambalu accept?

Health plans from Molina Healthcare list Miriam Ambalu 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 Miriam Ambalu was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.