Active NPI
Ahmed M El-Sabbagh, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301104848
- Practice address
- 1402 S Grand Blvd
Division of Nuclear Medicine, FDT-2
Saint Louis, MO 63104-1004 - Phone
- (314) 577-8047
- NPI assigned
- Nov 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | 2015018271 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 4301104848 | MI | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301104848 | MI | Primary |
Addresses
Primary practice location
1402 S Grand Blvd
Division of Nuclear Medicine, FDT-2
Saint Louis, MO 63104-1004
Mailing address
1402 S Grand Blvd
Division of Nuclear Medicine, FDT-2
Saint Louis, MO 63104-1004
Phone (314) 577-8047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2015018271 | Other | MO | MISSOURI LICCENSE |
| 4301104848 | Other | MI | PHYSICIAN LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-5045
1096 S Belsay Rd
Suite J
Burton, MI 48509-1948
Phone (810) 715-0803
13365 Victoria Ave
Huntington Woods, MI 48070-1720
Phone (906) 449-3000
30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015018271 | MO | MD | Nuclear Imaging & Therapy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Savior Healthcare, Inc. | Multi-Specialty | Current | Accepting new patients |
| Eastpointe Radiologists, PC | Multi-Specialty | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Multi-Specialty | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Multi-Specialty | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Multi-Specialty | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Multi-Specialty | Current | Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| VHS Physicians of Michigan | Multi-Specialty | Current | Accepting new patients |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Imaging Associates of Michigan PLLC | Multi-Specialty | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Multi-Specialty | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin | Multi-Specialty | Current | Accepting new patients |
| SHPS, PLLC | Multi-Specialty | Current | Accepting new patients |
| Prime Radiology Consultants P.C. | Multi-Specialty | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Multi-Specialty | Current | Accepting new patients |
| Basha Diagnostics P C | Multi-Specialty | Current | Accepting new patients |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Henry Ford Medical Group Genesys | Multi-Specialty | Current | Accepting new patients |
| Eastpointe Radiologists, P.C. | Multi-Specialty | Current | Accepting new patients |
| Art of Radiology Imaging Associates, PLLC | Multi-Specialty | Current | Accepting new patients |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Multi-Specialty | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Multi-Specialty | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Multi-Specialty | Past | Accepting new patients |
| Genesys Integrated Group Practice PC | Multi-Specialty | Past | Accepting new patients |
Locations (25 of 32)
29980 Network Pl
Chicago, IL 60673
9900 Birch Run Rd
Birch Run, MI 48415
Phone (989) 624-1500
1600 Brady St
Chesaning, MI 48616
Phone (989) 497-9395
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
4154 W Vienna Rd
Clio, MI 48420
Phone (810) 686-3747
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
1096 S Belsay Rd
Ste J
Flint, MI 48509
Phone (810) 715-0803
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1147
30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
110 Beech St
Ste B
Tawas City, MI 48763
Phone (989) 362-1015
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
Organizations & group practices 27
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.
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
Multi-Specialty
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
Multi-Specialty
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
Multi-Specialty
-
- Diagnostic Radiology Physician
- Grand Blanc, MI
- NPI 1003571076
Multi-Specialty
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
Multi-Specialty
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
Multi-Specialty
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
Multi-Specialty
-
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
Multi-Specialty
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
Multi-Specialty
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
Multi-Specialty
-
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1376917781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"address_2": "DIVISION OF NUCLEAR MEDICINE, FDT-2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-577-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"address_2": "DIVISION OF NUCLEAR MEDICINE, FDT-2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-577-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-SABBAGH",
"first_name": "AHMED",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-23",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": "MO",
"license": "2015018271",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301104848",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301104848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI LICCENSE",
"identifier": "2015018271",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENCE",
"identifier": "4301104848",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.