Active NPI
Ahmed Mokhtar Mahmoud Elbayer, MD
- Plastic and Reconstructive Surgery Physician
- Mineola, NY
National Provider Identifier
1154044634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD61292880
- Practice address
- 1539 Franklin Ave Ste 103
Mineola, NY 11501-4806 - Phone
- (646) 820-9289
- NPI assigned
- Sep 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 35.146046 | OH | |
| Plastic Surgery Physician | 208200000X | 317298 | NY | |
| Plastic Surgery Physician | 208200000X | MD61292880 | WA | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | MD61292880 | WA | |
| Plastic Surgery Physician | 208200000X | 91699 | GA | |
| Plastic Surgery Physician | 208200000X | 35.146046 | OH | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 91699 | GA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 35.146046 | OH | |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 317298 | NY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD61292880 | WA | Primary |
Addresses
Primary practice location
1539 Franklin Ave Ste 103
Mineola, NY 11501-4806
Mailing address
1539 Franklin Ave Ste 103
Mineola, NY 11501-4806
Phone (646) 820-9289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012003460 | NY | Order and Referring Only - Plastic and Reconstructive Surgery | 4082080288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317298 | NY | MD | Plastic Surgery Physician |
| 35.146046 | OH | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1154044634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 FRANKLIN AVE STE 103",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014806",
"telephone_number": "646-820-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 FRANKLIN AVE STE 103",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014806",
"telephone_number": "646-820-9289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELBAYER",
"first_name": "AHMED",
"middle_name": "MOKHTAR MAHMOUD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "OH",
"license": "35.146046",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "317298",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WA",
"license": "MD61292880",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "WA",
"license": "MD61292880",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "91699",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OH",
"license": "35.146046",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "GA",
"license": "91699",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OH",
"license": "35.146046",
"primary": false
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "NY",
"license": "317298",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WA",
"license": "MD61292880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.