DR. EDWARD ANTOINE EL-AM MD
NPI 1922560895
Internal Medicine - Cardiovascular Disease in Rochester, MN

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 30, 2025, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Edward Antoine El-am Md NPPES

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

DR. EDWARD ANTOINE EL-AM MD (NPI 1922560895) is an individual cardiovascular disease provider in Rochester, Minnesota, licensed in Minnesota (71036) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922560895
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. EDWARD ANTOINE EL-AMCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-5209
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 1, 2019
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1922560895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in MN · 71036✔ Licensed in SC · 93643
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Locations 2

Location 11120 W Michigan St # Cl630Indianapolis, IN 46202-5209 · Phone (317) 278-2689
Location 2421 Epting AveGreenwood, SC 29646-4041 · Phone (864) 227-6818

Other Identifiers 1

Medicaid936438SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Antoine El-am 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 ID9133454333
PECOS Enrollment IDI20250616001644
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Edward El-am reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Medicine
6 COLLEGE ST
Due West, SC 29639
  • Reassigned Medicare billing, South Carolina enrollment
  • 103 clinicians in this Medicare group
Family Medicine
167 GREENWOOD AVE S
Ware Shoals, SC 29692
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
Family Medicine
167 S GREENWOOD AVE
Ware Shoals, SC 29692
  • Reassigned Medicare billing, South Carolina enrollment
  • 231 clinicians in this Medicare group
Family Medicine
155 RIDGE MEDICAL PLAZA RD
Edgefield, SC 29824
  • Reassigned Medicare billing, South Carolina enrollment
  • 126 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Edgefield County Healthcare An Affiliate Of Self R

Critical Access Hospitals · Edgefield, SC
OwnershipGovernment - Local
CMS Certification Number421304
Location300 Ridge Medical PlazaEdgefield, SC 29824 · Edgefield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Edward El-am's NPI number?

The NPI number for Edward El-am is 1922560895. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Edward El-am located?

Edward El-am practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Edward El-am's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Edward El-am enrolled in Medicare?

Yes. Edward El-am 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.

Which organizations bill Medicare for Edward El-am's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward El-am reassigns Medicare benefits to 4 organizations: Abbeville County Memorial Hospital (Due West, SC), Self Medical Group (Ware Shoals, SC), Self Regional Healthcare (Ware Shoals, SC) and Self Regional Healthcare Partners (Edgefield, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward El-am's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward El-am accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Edward El-am 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 Edward El-am affiliated with any hospitals?

According to CMS data, Edward El-am is affiliated with Mayo Clinic Hospital Rochester, Self Regional Healthcare, Abbeville Area Medical Center and Edgefield County Healthcare An Affiliate Of Self R.

When was this NPI record last updated?

The NPPES record for Edward El-am was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.