Amjad Abdelhady, MD
Individual provider Active NPI Family Medicine Physician · Sioux City, IA
NPI 1033966700 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1033966700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R-13086 (IA)
- Practice address
- 2501 Pierce St
Sioux City, IA 51104-3725 - Phone
- (712) 294-5018
- Fax
- (712) 294-5092
- NPI assigned
- May 1, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250226002711 | IA | Order and Referring Only - Family Practice |
3971023581 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-13086 | IA | Yes |
Addresses
Primary practice location
2501 Pierce St
Sioux City, IA 51104-3725
Mailing address
2501 Pierce St
Sioux City, IA 51104-3725
Phone (712) 294-5018
Other providers in Sioux City, IA
- 1St Step Chiropractic & Wellness L.L.C.
- Aa Cabbies Inc.
- Ahmed Muhammed Abdelwahab Abdulrahman
- Roha Abera
- Nesrin Karim Abu Ata
- Action Taxi & Limo, Inc.
- Romano V Adajar
All providers in Sioux City, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.