Dr Miriam Ambalu, MD - Medicare Emergency Medicine in Stamford, CT

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Dr Miriam Ambalu, MD is a medicare enrolled "Emergency Medicine" physician in Stamford, Connecticut. Her current practice location is 30 Shelburne Rd, Stamford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 276-7595.

Dr Miriam Ambalu is licensed to practice in Connecticut (license number 052753) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639126576.

Contact Information

Dr Miriam Ambalu, MD
30 Shelburne Rd,
Stamford, CT 06902-3628
(203) 276-7595
Not Available

Map and Direction




Physician's Profile

Full NameDr Miriam Ambalu
GenderFemale
SpecialityEmergency Medicine
Location30 Shelburne Rd, Stamford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639126576
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 03/31/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0143413724
  • Enrollment ID: I20140404001665

Medical Identifiers

Medical identifiers for Dr Miriam Ambalu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639126576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 052753 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Miriam Ambalu allows following entities to bill medicare on her behalf.
Entity NameEmergency Medicine Physicians Of Fairfield County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689614109
PECOS PAC ID: 9335051432
Enrollment ID: O20031105000451
Entity NameEmergency Medicine Physicians Of New Haven County Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083910962
PECOS PAC ID: 4284819764
Enrollment ID: O20110427000166

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Miriam Ambalu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Miriam Ambalu, MD
31 Disbrow Cir,
New Rochelle, NY 10804-2503

Ph: (914) 636-0410		Dr Miriam Ambalu, MD
30 Shelburne Rd,
Stamford, CT 06902-3628

Ph: (203) 276-7595

Reviews and Comments


Emergency Medicine Doctors in Stamford, CT

Dr. Alexandr Rafailov, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 30 Shelburne Rd, Stamford, CT 06902
Phone: 203-276-7777    
Dr. Sarah Marie Vitello, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Shelburne Rd, Stamford, CT 06902
Phone: 203-276-1000    
Romulo V Vasquez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 170 Washington Blvd, Stamford, CT 06902
Phone: 203-276-2472    Fax: 203-276-4594
Dr. Nitin Kuppanda, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hospital Plz, Stamford, CT 06902
Phone: 203-276-1000    
Jomo Coddett, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Shelburne Rd, Stamford, CT 06902
Phone: 330-493-4443    Fax: 330-493-8677
Dr. Scott Raymond Martin, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 29 Hospital Plz Ste 502, Stamford, CT 06902
Phone: 203-348-7410    Fax: 203-276-2324
Dr. Tiphany Alexandrea Jolly, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Shelburne Road, Stamford, CT 06902
Phone: 203-276-7777    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.