Individual provider Active NPI

Ahmed Zakria Youssef Elmaadawi, M.D.,

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1114189305
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
72980 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(602) 839-2000
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 01072115A IN
Psychiatry Physician 2084P0800X 72980 AZ Primary
Psychiatry Physician 2084P0800X 01072115A IN

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

11154 E Cannon Dr
Scottsdale, AZ 85259-4850
Phone (502) 457-0711

Other practice location 1

1720 Beacon St
Fort Wayne, IN 46805-4749
Phone (260) 373-8000

Other identifiers 1

IdentifierTypeStateIssuer
201162900MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ahmed.elmaadawi@bannerhealth.com Health Information Exchange (HIE)
FHIR URL ahmed.elmaadawi@bannerhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, IA, AZ4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20130927000367 IN Practitioner - Psychiatry 3678744240 Reassigns benefits to 4 organizations
I20190510001251 IL Practitioner - Psychiatry 3678744240 Reassigns benefits to 3 organizations
I20230602001212 IA Practitioner - Psychiatry 3678744240 Reassigns benefits to 2 organizations
I20241008003639 AZ Practitioner - PsychiatryPractitioner - Neurology 3678744240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Allen Memorial Hospital CorporationGroup PAC ID 4284546045, 149 clinicians
Trinity Medical CenterGroup PAC ID 2264337518, 97 clinicians
The Robert Young Center for Community Mental HealthGroup PAC ID 4587600150, 54 clinicians

Practice addresses (Care Compare)

1300 N 12TH St
Suite 320
Phoenix, AZ 85006-2858
Phone (602) 839-6800

1401 W Central Park Ave
Mercyone Genesis
Davenport, IA 52804-1707
Phone (563) 421-1000

1720 Beacon St
Fort Wayne, IN 46805-4749
Phone (260) 373-8000

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3913

233 Vold Dr
Waterloo, IA 50703-1256
Phone 31923550900

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000

51260 Pebble Beach CT
Granger, IN 46530-6551
Phone (309) 779-2058

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72980AZMDPsychiatry Physician
01072115AINMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Memorial Hospital Corporation CurrentSince Jun 21, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Interventional Psychiatric Center of North America Psychiatry Current Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Mar 12, 2022 Accepting new patients
Parkview Health System Inc Family Medicine Current Accepting new patients
Banner - University Physician Specialists LLC Current Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 11, 2024 Accepting new patients
Genesis Health System CurrentSince Jun 5, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 11, 2024 Accepting new patients
Genesis Health System Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Oct 1, 2024 Accepting new patients
Trinity Medical Center Family Medicine CurrentSince Sep 2, 2025 Accepting new patients
Trinity Medical Center Psychiatry CurrentSince Sep 2, 2025 Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Mar 12, 2022 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Oct 1, 2024 Accepting new patients
Allen Memorial Hospital Corporation Psychiatry CurrentSince Jun 21, 2024 Accepting new patients
Parkview Health System, Inc. Family Medicine CurrentSince Feb 22, 2019 Accepting new patients
Genesis Health System Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients
Trinity Medical Center Psychiatry Past Accepting new patients

Locations

1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

4200 E Camelback Rd
Ste 107
Phoenix, AZ 85018
Phone (602) 229-2000

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 671-3100

815 Main St
Ste A1
Peoria, IL 61602

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

1720 Beacon St
Fort Wayne, IN 46805
Phone (260) 373-7500

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

53842 Generations Dr
South Bend, IN 46635

Interoperability endpoints

  • Direct secure messaging: aelmaadawi198800@direct.parkviewexchange.com
  • Direct secure messaging: aelmaadawi669635@direct.unitypoint.org

Organizations & group practices 22

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

View all 22

Hospital & facility affiliations 5

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1114189305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11154 E CANNON DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594850",
            "telephone_number": "502-457-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Beacon St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468054749",
            "country_code": "US",
            "telephone_number": "260-373-8000",
            "fax_number": "260-373-8024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELMAADAWI",
        "first_name": "AHMED",
        "middle_name": "ZAKRIA YOUSSEF",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IN",
            "license": "01072115A",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "72980",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01072115A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201162900",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmed.elmaadawi@bannerhealth.com",
            "affiliation": "N",
            "endpointDescription": "exchange communication",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 E McDowell Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "ahmed.elmaadawi@bannerhealth.com",
            "affiliation": "N",
            "endpointDescription": "exchange communication",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1111 E McDowell Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850062612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.