Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Randa Diana Elmallah, MD

Individual provider Orthopaedic Surgery Physician · NPI 1376905455

MS. Randa Diana Elmallah, MD is an Orthopedic Surgery in Boston, Massachusetts. Qualified in 2013, 13 years ago. Practices with Ohi West Medical Group LLC, a 200-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Massachusetts and Missouri.

Years since qualifying
13
Licensed in
FL, MA, MO
In the registry since
2016
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 603 7th St S Ste 100, St Petersburg, FL 33701-4719 — (727) 553-7431
  • 2500 N State St, Jackson, MS 39216-4500 — (601) 984-6525

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2022029948 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence ME168335 (FL)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 286499 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376905455
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2016
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ohi West Medical Group Llc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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