Individual provider Active NPI

Abdelrahman Fouad Ahmed Beltagy, M.D.

  • Neurology Physician
  • Spokane, WA
National Provider Identifier
1013250216
Registry record updated Jul 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD60807666 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99204-2307
Phone
(509) 474-2894
Fax
(509) 474-2895
NPI assigned
Apr 5, 2013
Last updated
Jul 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD60807666 WA Primary

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204-2307

Mailing address

PO Box 421
Liberty Lake, WA 99019-0421
Phone (509) 474-2894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180615002091 WA Practitioner - Neurology 0840592572 Reassigns benefits to 10 organizations
I20230726003268 OR Practitioner - Neurology 0840592572 Reassigns benefits to 1 organization
I20240613001707 TX Practitioner - Neurology 0840592572 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians
North Texas Stroke Center, PLLCGroup PAC ID 6709927528, 15 clinicians

Practice addresses (Care Compare)

Irving, TX 75039

Irving, TX 75063

Dallas, TX 75230

101 W 8TH Ave
FL 3 North
Spokane, WA 99204-2307
Phone (509) 474-2847

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

1600 Coit Rd
Suite 104
Plano, TX 75075-6171
Phone (972) 566-5411

3035 Dancourt Dr
Irving, TX 75063-3433

424 Paluxy Dr
Irving, TX 75039-3358

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services- Washington CurrentSince Jul 25, 2019 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 25, 2019 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 26, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 20, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 10, 2023 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 1, 2018 Accepting new patients
Providence Health & Services Mt CurrentSince Jan 20, 2020 Accepting new patients
Providence Medical Institute CurrentSince Jan 20, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 18, 2022 Accepting new patients
Swedish Health Services CurrentSince May 9, 2022 Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 13, 2020 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 18, 2022 Accepting new patients
Providence Medical Institute CurrentSince Jan 20, 2020 Accepting new patients
North Texas Stroke Center, PLLC Neurology CurrentSince Aug 1, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 10, 2023 Accepting new patients
Providence Health & Services - Washington CurrentSince Sep 13, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jul 10, 2023 Accepting new patients

Locations

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 786-8435

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

1600 Coit Rd
Ste 104
Plano, TX 75075
Phone (972) 566-5564

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
#P100
Seattle, WA 98104
Phone (206) 320-3351

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3131

101 W 8th Ave
Fl 3
Spokane, WA 99204
Phone (509) 474-2277

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

Interoperability endpoints

  • Direct secure messaging: abdelrahman.beltagy@hca7.eclinicaldirectplus.com
  • Direct secure messaging: abeltagy935475@wm.providencedirect.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530921600000",
    "number": "1013250216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990190421",
            "telephone_number": "509-474-2894",
            "fax_number": "509-474-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042307",
            "telephone_number": "509-474-2894",
            "fax_number": "509-474-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTAGY",
        "first_name": "ABDELRAHMAN",
        "middle_name": "FOUAD AHMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2018-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60807666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.