Organization Active NPI

Ahmed Elebiary MD

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1043789423
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AHMED ELEBIARY MD
Practice address
900 Virginia Ave
Alexandria, VA 22302-3200
Phone
(703) 705-9500
Fax
(571) 685-2016
NPI assigned
Nov 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Authorized official

Name
Dr. Ahmed ElebiaryNPI 1659719227
Title
Owner
Phone
(703) 705-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

900 Virginia Ave
Alexandria, VA 22302-3200

Mailing address

3114 Patrick Henry Dr
Falls Church, VA 22044-1823
Phone (703) 705-9500

Other names 1

  • AHMED ELEBIARY MD, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190717001579 DC Part B Supplier - Clinic/Group Practice 0840525572 Receives reassigned benefits from 5 practitioners
Practice locations: Alexandria, VA
O20250710000444 MD Part B Supplier - Clinic/Group Practice 0840525572 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1043789423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 PATRICK HENRY DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441823",
            "telephone_number": "703-705-9500",
            "fax_number": "571-685-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VIRGINIA AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223023200",
            "telephone_number": "703-705-9500",
            "fax_number": "571-685-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED ELEBIARY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "ELEBIARY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-705-9500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHMED ELEBIARY MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHMED ELEBIARY MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.