NPIMap

Individual provider Active NPI

Ahmed Ismail Elnaggar, M.D.

  • Pulmonary Disease Physician
  • Statesville, NC
National Provider Identifier
1255323804
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9501234 Issued in NC
Practice address
208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone
(704) 838-8240
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med One Sleep Center, PLLC 2 clinicians
Piedmont Healthcare PA 226 clinicians

Practice addresses (Care Compare)

1340 Walter Reed Rd
Suite 201
Fayetteville, NC 28304-4451
Phone (910) 401-5415

208 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 878-2011

Hospital & facility affiliations

  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039
  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050705000920 NC Practitioner - Pulmonary Disease 2062458631 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med One Sleep Center, PLLC CurrentSince Aug 27, 2020 Accepting new patients
Piedmont Healthcare, PA CurrentSince Jun 23, 2003 Accepting new patients
Piedmont Healthcare, P.a. Internal Medicine CurrentSince Jun 23, 2003 Accepting new patients
RDMG Associates PA Past Accepting new patients

Locations

1340 Walter Reed Rd
Ste 201
Fayetteville, NC 28304
Phone (910) 401-2011

208 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-8215

650 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 873-4277

Interoperability endpoints

  • Direct secure messaging: ahmedelnaggar@phc.allscriptsdirect.net
  • Direct secure messaging: ahmedelnaggar@cffmcpa.allscriptsdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 9501234 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

208 Old Mocksville Rd
Statesville, NC 28625-1930

Mailing address

650 Signal Hill Drive Ext
PO Box 1845
Statesville, NC 28625-4353
Phone (704) 873-4277

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
893064BMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 15, 2023.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1255323804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SIGNAL HILL DRIVE EXT",
            "address_2": "PO BOX 1845",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254353",
            "telephone_number": "704-873-4277",
            "fax_number": "704-873-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-838-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELNAGGAR",
        "first_name": "AHMED",
        "middle_name": "ISMAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9501234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "893064B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.