Gamal Aboul-Nasr, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

24220 Issued in AZ

Practice address

7525 E Broadway Rd
Ste 2
Mesa, AZ 85208-1154

Phone

(480) 981-9800

Fax

(480) 985-9465

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gamal.aboul-nasr.1@27041.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4

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.

• Access Wellness Resources

  dba IntraCare Health Center

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1568116291

  AZ

  Medicare reassignment Care Compare group NPD

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

• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104850288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800",
            "fax_number": "480-985-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 E BROADWAY RD",
            "address_2": "STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852081154",
            "telephone_number": "480-981-9800",
            "fax_number": "480-985-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOUL-NASR",
        "first_name": "GAMAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "24220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401480",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ089184D",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abide Home Health Care LLC
• Ability Home Health Care Agency LLC
• Ramez Naim Abilmona, DMD
• Olaide Omowonuola Abiodun, MD
• Able Transit LLC
• Yusuf Manuel Aboul-Nasr
• Above & Below LLC (Vital Choice Specialty Pharmacy)
• Above & Below LLC (Vital Choice Specialty Pharmacy)
• Gwendolyn Abrahamson
• Ruth Abramowitz

• Geriatric Medicine (Internal Medicine) Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.