Individual provider Active NPI

Ahmed Elahmady, MD

  • Gastroenterology Physician
  • Clinton, IA
National Provider Identifier
1265412803
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
27316 Issued in IA
Practice address
2745 Lincoln Way
Clinton, IA 52732-7201
Phone
(563) 242-3208
Fax
(563) 242-4051
NPI assigned
Jan 19, 2006
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 27316 IA Primary

Addresses

Primary practice location

2745 Lincoln Way
Clinton, IA 52732-7201

Mailing address

2745 Lincoln Way
Clinton, IA 52732-7201
Phone (563) 242-3208

Other identifiers 1

IdentifierTypeStateIssuer
1066316MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040323000096 IA Practitioner - Gastroenterology 3072425230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahmed Elahmady PCGroup PAC ID 8123930385, 3 clinicians

Practice addresses (Care Compare)

2745 Lincoln Way
Clinton, IA 52732-7201

2745 Lincolnway
Clinton, IA 52732-7201

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27316IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Surgicenter LLC Current Accepting new patients
Quality Care Clinic Past Accepting new patients

Locations

2745 Lincoln Way
Clinton, IA 52732
Phone (563) 242-3208

2745 Lincoln Way
#30
Clinton, IA 52732

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1265412803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 LINCOLN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-242-3208",
            "fax_number": "563-242-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 LINCOLN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-242-3208",
            "fax_number": "563-242-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAHMADY",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "27316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066316",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.