NPIMap

Syed Ijlal Ahmed, MD

Individual provider Active NPI Neurology Physician · Cape Girardeau, MO

NPI 1124602230 · NPPES record last updated Jun 30, 2025

Key facts

NPI
1124602230
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Physician 2084N0400X
License
2024040375 (MO)
Practice address
3004 Gordonville Rd
Cape Girardeau, MO 63703-5008
Phone
(314) 977-6082
Fax
(314) 977-6086
NPI assigned
May 6, 2021
Reactivated
May 17, 2022
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 5

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

Medicare Care Compare profile

Specialty
Neurology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Facilities Rehab Services Inc (152 clinicians)
Saint Francis Medical Center (441 clinicians)

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

3004 Gordonville Rd
Cape Girardeau, MO 63703-5008
Phone (573) 334-4667

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital · Cape Girardeau, MO · CCN 260183
  • Poplar Bluff Regional Medical Center Hospital · Poplar Bluff, MO · CCN 260119
  • Mercy Hospital Southeast Hospital · Cape Girardeau, MO · CCN 260110
  • Mercy Hospital Stoddard Hospital · Dexter, MO · CCN 260160

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250628000236 MO Practitioner - Neurology 1658806435 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024040375MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current
since Jun 23, 2025		 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center Current
since Jun 23, 2025		 Accepting new patients
Cape Laboratory & Pathology, LC Current Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

3004 Gordonville Rd
Cpe Girardeau, MO 63703
Phone (573) 332-1972

Interoperability endpoints

  • Direct secure messaging: asyed113101@surescripts.sfmc.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2024040375 MO Yes

Addresses

Primary practice location

3004 Gordonville Rd
Cape Girardeau, MO 63703-5008

Mailing address

PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2025.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1124602230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801143",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801143",
            "telephone_number": "573-331-5583",
            "fax_number": "573-331-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 GORDONVILLE RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035008",
            "telephone_number": "314-977-6082",
            "fax_number": "314-977-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED IJLAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "deactivation_date": "2022-03-22",
        "reactivation_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2024040375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

All providers in Cape Girardeau, MO · Neurology Physician in Missouri

Sources for this page

Verify at the official NPI Registry.