NPIMap

Organization Active NPI

Bayoumi Medical PLLC

  • Internal Medicine Physician
  • Warsaw, NY
National Provider Identifier
1245349208
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210742 Issued in NY
Legal business name
BAYOUMI MEDICAL PLLC
Practice address
2261 Route 19 N
Warsaw, NY 14569-9334
Phone
(585) 786-2290
Fax
(585) 786-2853
NPI assigned
Aug 30, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Ahmed Gamal Bayoumi, MD
Title
Owner
Phone
(585) 786-2290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300945 NY
Internal Medicine Physician 207R00000X 210742 NY Primary

Addresses

Primary practice location

2261 Route 19 N
Warsaw, NY 14569-9334

Mailing address

2261 Route 19 N
Warsaw, NY 14569-9334
Phone (585) 786-2290

Other identifiers 3

IdentifierTypeStateIssuer
02833109MedicaidNY
01861238MedicaidNY
01509493MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1245349208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 ROUTE 19 N",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145699334",
            "telephone_number": "585-786-2290",
            "fax_number": "585-786-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 ROUTE 19 N",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145699334",
            "telephone_number": "585-786-2290",
            "fax_number": "585-786-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOUMI MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BAYOUMI",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "GAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-786-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300945",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02833109",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01861238",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01509493",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.