Individual provider Active NPI

Ahmed Mokhtar Mahmoud Elbayer, MD

  • Plastic and Reconstructive Surgery Physician
  • Mineola, NY
National Provider Identifier
1154044634
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD61292880 Issued in WA
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

Updated by the provider on May 14, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221012003460 NY Order and Referring Only - Plastic and Reconstructive SurgeryPractitioner - Plastic and Reconstructive Surgery 4082080288

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317298NYMDPlastic Surgery Physician
35.146046OHMDPlastic 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

Verify at the official NPI Registry.